ROOM CHANGE APPLICATION
S:\HALLS_Administration\Accommodation\Forms\2016\Other\Room Change Application.docx 160210
Name: _____________________________________________________________________________
Hall: ______________________________________________________________________________
Present Room: ______________ Room / Hall Requested: _________________________________
Reason: ___________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Room Change Applications are subject to approval and availability.
Endorsements / recommendations must be sought from the residents current RA and Senior RA, as well as the
prospective RA or Senior RA for the area requested in the room change application.
The resident will be notified by Halls Administration if and when the room change request is successful, and the
resident must change rooms on the date specified by Administration.
If a room change results in a room rate change (eg. self-catering to full board, non air-conditioned to air-conditioned
room, or inter-Hall transfer), then the resident acknowledges and accepts that the room rate change will take affect
from the date the keys of the new room are collected, or as otherwise agreed.
Residents whose account is paid by a study abroad agent or sponsor should contact their agent/sponsor in regard
to any fees payable as a result of the room change (if approved).
If a room change application is successful, an administration fee of $50.00 will apply for changes within the same
Hall, or $100.00 to transfer to another Hall.
I have read and agree to the conditions outlined above.
Signature: _________________________________________ Date: __________________________
Room Change Endorsement:
Residential Assistant
(of current floor / block)
RA or Senior RA
(of proposed floor / block / Hall)
Senior RA
(of current Hall)
Comments: _____________________
___________________________________
___________________________________
___________________________________
___________________________________
Comments: ______________________
____________________________________
____________________________________
____________________________________
____________________________________
Comments: _____________________
____________________________________
____________________________________
____________________________________
____________________________________
Signature:
Date:
Signature:
Date:
Date:
/ /
/ /
/ /
Office Use Only
Room change actioned?
Yes
No
Notified:
Applicant
Room changed to:
Housekeeping
Residential Assistants
Date of change:
/ /
Accounts
Room Change Fee Charged
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