Request to Reside with Parent(s) or Guardian(s)
Single, undergraduate students with less than twenty-four (24) transferable, post-secondary credit
hours who enroll full-time at UND and who do not live at the full-time established residence of their parent(s)
within 35 miles of Grand Forks, ND, are required to reside in University owned housing.
Any deviations from this policy must have WRITTEN approval from the Housing and Dining Services
Department. Exceptions may be made in accordance with the policy as published on the UND Housing
website. Students with the written permission from the Housing and Dining Services Department are
permitted to reside at the full-time established residence of a parent or guardian. Other relatives such as aunts,
uncles, grandparents, siblings, or cousins, etc. are not applicable to the policy. No application
will be honored without complete documentation. All information and supporting documentation
must be received by the Housing Office by specified deadlines.
Falsifying any portion of this document subjects the student to disciplinary action including possible suspension
from the University of North Dakota.
I, ________________________________, ___________________, request an exemption
(Student name) (Student ID number)
to the UND Housing policy based upon the fact that I will reside in the established household of
my ________________________________, whose name is __________________________.
(Relation) (Relative’s name)
I will reside at __________________________________, in ________________________,
(Relative’s street address) (Relative’s city)
North Dakota, ___________________. The telephone number is _______________________.
(Relative’s zip code) (Relative’s phone number)
I CERTIFY THAT I UNDERSTAND AND WILL COMPLY WITH ALL OF THE ABOVE.
___________________________________ __________________________________
Signature of Student Date Signature of Parent/Guardian Date
With Whom Student will Reside
click to sign
signature
click to edit
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome