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Off Campus Housing Information
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Off Campus Housing Form
Off Campus Housing Form
This form is only for students who have not attained senior status or at least 21 years of age. Students who have at least 95 credit hours or are at least 21 years of age before the start of the semester are not required to submit an off campus application.
* Name
* L#
* Birthdate
* Reason for Living off campus:
Living with your parents
Married
Other
If other, please explain in detail:
Phone # of person with whom you will live (if applicable)
* Address where you will live
Apartment #
* City, State ZIP
Would you like to join our Virtual Residence Hall (VRH) which will continue to provide important information about Lipscomb and online special events for our off campus students? It is totally free to be a resident of the VRH and allows you to stay connected with the Lipscomb community.
Yes
No
Any Lipscomb financial gift or grant aid that you have been awarded is based on you living on campus. Moving off campus could result in a reduction of these awards. It is your responsibility to contact Financial Aid at 615-966-1791 to see how moving off campus could affect your financial award.
* I have checked with Financial Aid about whether my gifts and scholarships will be affected by moving off campus.
By electronically signing my name, I indicate that the information provided above is correct and complete. I understand and will abide by the regulations governing student conduct, which are the same for on campus and off campus students.
* Signature
* I understand that allergies, dietary needs, financial hardships, etc. do not grant students approval to live off campus prior to meeting the off-campus stipulations (21 years of age or 95 earned credit hours).
* Type
both words
below,
separated by a space
.
Can't read the words below? Try
different words
or an
audio captcha
.
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