Housing Hardship Request Form Name First Last Email Cell PhoneResidence Hall and Room NumberDate requesting to stay until (No one permitted to stay past Noon on Saturday, 12/5) Date Format: MM slash DD slash YYYY Do you wish to remain on campus over Thanksgiving? (Wed 11/25 – Sunday 11/29)Choose OneYesNoReason you are requesting to remain in campus housing past closing...Choose OneLack of Access to email and Brightspace off campusCollege AthleticsOtherPlease explain thoroughly why you wish to remain on campus past Saturday, November 21:Emergency Contact Name First Last Emergency Contact RelationshipEmergency Contact PhoneBy typing my name below and checking the below boxes, If permitted to remain on campus, I acknowledge...I understand that, if permitted to stay on campus, food service will not be available after lunch on Tuesday, November 24. The Panther Pantry will remain stocked through Friday 12/4 but only Flex dollars and cash/credit will be functioning. I understand. I understand that, if permitted to stay on campus, I will be expected to follow all College policies and the Panther Promise. I will be removed immediately if found to be in violation of a policy. I understand. I understand that, if permitted to stay on campus, I will not be allowed to have ANY guests in the residence halls. I understand. I understand that I might be asked to meet with a staff member in Student Services to give further information or documentation about this request. I understand.