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You are registering for Extended Stay

    Registration Form created by Residence Life

    All non-graduating students who want to say in on-campus housing more than 24 hours past their last final must fill out this form and submit it to the Office of Residence Life by Wednesday, May 1, 2013. Students who meet one of the four criteria below will be approved for an extended stay:
    1. Participating in commencement activities
    2. Sibling of a graduating student
    3. Living in Messiah housing for the summer
    4. College sponsored responsibility - must list advisor or supervisor who is supervising this responsibility
    If you are staying for one of the reasons listed above you may fill out the form below. If you would like to request to stay for another reason you must ask your RD to email his/her special approval to housing@messiah.edu
    **Please note that students will be held accountable to standards listed in the Code of Conduct until they move out of campus housing and leave campus.**

  1. First Name (required)
  2. Last name (required)
  3. Email address (required)
  4. Please re-enter Email address (required)
  5. ID # (required)
  6. Building you live in (required)
  7. Room/apt number (required)
  8. Day (in May) you'll be leaving? (required)
  9. What is the reason you need an extended stay? (required)
  10. Please list your commencement role, advisor, supervisor or relative. (required)
  11. Please explain any other reason for staying late.
  12. Remember me on this computer
  13. By using TimeToSignUp.com, you agree to the Terms of Use.