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Transitional Housing Request Form

This form is used for students requesting transitional housing for the period between the ending or beginning of the semester and their on-campus housing for the summer. Transitional housing is only available for students moving from one on-campus housing assignment to another.

Please fill in all fields. If you have any questions, please feel free to email us at reslife@brandeis.edu or call us at 781-736-5060. You will receive email notification once the form is received. Fields marked with * are required. Forms with incomplete information will not be processed.



*First Name: *Last Name:

*Brandeis Email Address:

*Sage ID #:

*Class Year:

*Mailbox #:

*Phone #:

Spring '08 Housing:
Quad: Building: Room #:

Fall '08 Housing:
Quad: Building: Room #:

Housing Requests:

Spring Transitional Housing - $200 (May 10, 2008 to May 27, 2008)

Fall Transtional Housing - $200 (August 8, 2008 to August 25, 2008)

Please provide any additional information that may be helpful:

*By checking this box, I agree to the following:

  • I understand that I may be required to move into a temporary space during the transitional housing period.
  • I understand that I need to be actively living in the space that I am assigned to.
  • I understand that I must be transitioning to and from on-campus housing.  Transitional housing is not available for students living off-campus.
  • I understand that I charges for transitional housing will be posted to my student account.