APPLICATION CANCELLATION
Please be aware canceling your room when you are enrolled in classes at the university breaks your housing contract.
Please click here for more information concerning the buyout payment.
* First name: Middle name: * Last name:
* USM ID: *Hall:
*Room Number:

Assignment Cancellation
(CHECK ALL THAT APPLY)
* Term: Fall
Spring
Summer
* Year:
Reason for cancellation:


Other: Please explain.

(1500 maximum characters)

Type your full name in the box provided. Your typed name indicates acceptance.