US Form_Early Move-In Request Form - My Student Village

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early move-in request Please read carefully and complete entire form.

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The deadline for submission of this request is January 1st, 2018. Requests received after 5:00pm on January 1st, 2018 will be approved on a case by case basis only. Submission of this form is not a guaranteed approval. If approved, you are still responsible for the terms and conditions outlined in your lease contract during the period of your extension. This includes all community policies and institutional rules, regulations and codes or conduct. During the early move-in period leading up to the start date of the lease, no overnight guests are permitted. An additional non-refundable rental cost for the early move-in period is due upon approval of your request. If approved, all required paperwork and fees must be paid and complete. If you fail to do so, you will be unable to move-in early. If your early move-in request is approved, your room assignment may change and/or you may receive another roommate/suitemate. Be advised that facilities staff will be in the process of cleaning and repairing units which may require them to enter your unit to conduct inspections and/or services.

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Resident’s Name

Today’s Date:

Unit/Room #: Cell Phone #: (

Requested Move-In Date: )

Home Phone #: (

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Email: Permanent Home Address:

Reason for Request:

If your request for early move-in is due to on-campus employment or activity requirement, you must complete the following information: Department/Organization Requiring Your Early Move-In

Supervisor or Staff/Faculty Contact Name

Campus Phone #

Resident Signature: OFFICE USE ONLY Date Request Received

Received By:

☐ Approved General Manager ☐ Approved Maintenance Supervisor

Charges for Early Move-In: $

☐ Denied due to:___________________________ Resident Notified on: Illini Tower 409 East Chalmers Street Champaign IL 61820 USA

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/ t217 344 0400 f217 344 8162 [email protected] illinitower.net

Forwarded to FM/Administrator on:

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