OFF CAMPUS HOUSING REQUEST FORM

The deadline to apply for off-campus housing for the Fall 2025 semester is Tuesday, April 1, 5:00 p.m., CST.

Your application and all requested documentation is due by that date / time. Please read the policy before applying.

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Semester For Exemption

Last Name:

First Name:

Middle Name:

CWID#

Warhawks E-mail

Date of Birth:

Month

Day

Year

Parent's Home Address

Street Address:

City:

State:

ZIP:

Parent's Phone#

Home

Parent's Phone#

Work

High School Graduated from

First Semester Attended ULM

Major:

Cumulative GPA

Student's new local address if approved

Street Address:

City:

State:

ZIP:

Student's Cell#

Secondary Phone#

Name of individual student will reside with

Relation

Have you previously applied / been approved for off campus?

Yes

If approved for off campus living, do you have adequate transportation to get you to and from ULM? Adequate transportation is defined as owning or having access to a vehicle.

Yes

If so, when

IMPORTANT: PLEASE READ BELOW

THE UNDERSIGNED FULLY UNDERSTANDS THAT ANY ON CAMPUS APARTMENT LEASE WITH RESIDENTIAL LIFE SUPERSEDES AN APPROVAL BY THE OFFICE OF AUXILIARY ENTERPRISES AND/OR THE HOUSING EXEMPTION APPEALS COMMITTEE.

Signature of Student

Date:

Month

Day

Year

Basis for Exemption Request (Check One)

Living with parents or student owned property

Married, divorced, or has a child

Living with grandparent, brother or sister

Significant medical condition (See statement on next page)

Military Veteran (24 months active duty)

Out of High School at least 3 years

Transfer Student

Financial Hardship

Earned at least 75 credit hours

Online Classes Only

Comments

PROPER DOCUMENTATION MUST BE PRESENTED/ATTACHED TO EMAIL SUBMISSION AS INSTRUCTED BY THE OFFICE OF AUXILIARY ENTERPRISES.

Students are responsible for contacting the Office of Auxiliary Enterprises in regard to the status of their application.

Student Signature

Date:

Month

Day

Year