Room Change Request Survey

Request Details

All Residents changing rooms are subject to a $25 Administrative Fee.

Room Change Requests are subject to review by University Housing Staff.  You may not begin moving your belongings until you receive notification that your request was granted. Residents who decide to move their belongings before receiving notification are subject to a $50 per day improper Room Change fee.

Room Change Requests are binding upon submittal.  This means residents are required to move within the designated time period if their request is granted regardless if they change their mind later. Residents who are not able to move within the designated time period are subject to a daily fee for occupying more than one space at a time.

Residents moving to a room type with a different rate are required to pay the difference or will receive a credit for the difference.

NOTE: Only submit this form if you wish to move to another apartment or room. If you wish to cancel your License Agreement and move out of University Housing, please contact the Associate Director of Housing Operations at amarcel@csudh.edu for more information and instructions.

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* 1. Enter Initials to Indicate You Understand the aforementioned stipulations:

Personal Details

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* 2. Name

First Name

Last Name

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* 3. Gender:

Male

Female

Nonbinary

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* 4. E-mail

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* 5. Phone Number

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* 6. Current Building:

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* 7. Current Apartment #:

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* 8. Current Bedroom :

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* 9. What type of request do you have?

Room Swap (you and another resident have mutually agreed to switch rooms)

Room Transfer (you desire to move into an open space)

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* 10. Desired Resident to Swap Rooms (if any)

First Name

Last Name

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* 11. Desired Building (if any)

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* 12. Desired Apartment # (if any)

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* 13. Desired Bedroom (if any)

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* 14. Desired Apartment Type (if any)

1 Bedroom

2 Bedroom

3 Bedroom

Res Hall

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* 15. Special Considerations for Assignment

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* 16. Why are you submitting this request?

Financial Concerns

Dissatisfaction with Roommate

Dissatisfaction with Apartmentmate

Dissatisfaction with Community Atmosphere

Dissatisfaction with Accommodation Quality

Dissatisfaction with Accommodation Options

Dissatisfaction with Customer Service

Other

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* 17. Who have you discussed your request with?

Current Roommate

Current Apartmentmate(s)

Potential Roommate

Potential Apartmentmate(s)

Resident Assistant

Residential Life Professional Staff

Other (please specify)

Room Change Request

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* 1. Enter Initials to Indicate You Understand the aforementioned stipulations:

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* 2. Name

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* 3. Gender:

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* 4. E-mail

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* 5. Phone Number

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* 6. Current Building:

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* 7. Current Apartment #:

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* 8. Current Bedroom :

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* 9. What type of request do you have?

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* 10. Desired Resident to Swap Rooms (if any)

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* 11. Desired Building (if any)

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* 12. Desired Apartment # (if any)

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* 13. Desired Bedroom (if any)

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* 14. Desired Apartment Type (if any)

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* 15. Special Considerations for Assignment

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* 16. Why are you submitting this request?

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* 17. Who have you discussed your request with?

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* 18. Rationale for Movement Request