Boyce Student Housing Checkout Form

Full Name*

Campus ID Number*

Email Address*

Please use student email address.

Do you have mailbox in the mail room?*

Yes
No

Mailbox Number*

Please enter a number from 100 to 3000.

Will you be living on campus next semester?

Yes
No

Summer and Winter terms are not considered semesters.

Will you be staying for summer/winter break?

Yes
No

Temporary Forwarding Address*

Street Address Address Line 2 City State ZIP Code

Permanent Forwarding Address*

Unless you have ALREADY made arrangements with Fifth & Broadway to continue use of your on-campus mailbox, you may NOT enter your on-campus mailing address in the fields below. If needed, you may rent your current mailbox from Fifth & Broadway for a monthly fee. Fifth & Broadway will only forward your mail for 6 months. Please make every effort to promptly change your address with those who may need to contact you.

Street Address Address Line 2 City State ZIP Code

Forwarding Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Reason for Leaving*

Graduation (Finishing Classes)
Summer/Winter Break
Withdrawal from School
Moving Off Campus
Moving into Married Housing

Electronic Signature*

Boyce Student Housing Checkout Form

Boyce Housing Checkout Form

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