Petition to Stay on Campus

Student Information

If you feel that you need to stay, please complete the following petition (give your full name, student ID, criteria for needing to stay). Please note that services and access to Eastman campus facilities are limited to those who are granted permission to stay.

Question Title

* 1. Please provide your student information below (ex. George Eastman, ID# 123456789, SLC Rm 306T, Email Address, and Phone Number)

First Name

Last Name

Student ID#

SLC Room Number

Email Address

Phone Number

Question Title

* 2. If you feel that you need to stay, please select the reason below.

I am a senior who must complete a senior recital or dual degree River-Campus based coursework (verification necessary).

I am a student who faces housing insecurity (homelessness or otherwise precarious living situation).

I am a student who faces financial insecurity.

You are a student who has been previously certified “independent for the purposes of financial aid”

You are an international student who has immigration, travel, and or visa restrictions

You are an international student whose home is in a country currently designated at Level 3 Warning for COVID-19

I am a student whose home is in an area with extremely limited internet connectivity.

Other - Please comment below - subject to review

Other (please specify)