Halcyon Residence Hall Check Out Form - Washington Adventist University

Contact Information

Name*

Full Name

Student ID Number*

Room Number*

Email*

Phone*

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

My move will be:*

My plans:*

If returning, please include the date*

Mail Forwarding Instructions

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

All possessions must be removed or charges will apply. Arrangements can be made for paid short-term storage if you will be returning to the Residence Hall.