University Student Housing
APPLICATION FOR EXEMPTION FROM TEXAS TECH UNIVERSITY HOUSING REQUIREMENT
Updated 05/14/2014
All appropriate documentation must be provided prior to review. Non-exempt students have the right to Appeal.
Compliance with the university housing policy is a condition of enrollment, as set forth in the Student Handbook, the Undergraduate Catalog, and OP 30.25
(http://www.depts.ttu.edu/opmanual/). Failure to secure either an exemption or on-campus housing will result in a hold preventing both the release of university transcripts and registration for
classes. Because of unforeseen changes in a student’s circumstances due to illness, other personal reasons, or late acceptance to the university, some petitions are considered after the above
dates. Authorization for off-campus housing does not relieve the student of contractual obligations which may have been assumed with University Student Housing. Please refer to the
Residence Hall Contract (http://housing.ttu.edu/contract-guide.php) for specific information on deadlines and penalties.
Please indicate the initial term for exemption (circle one):
Status (circle one):
First Year College Student
High School Name:
/
Fall
Transfer Student
/
Spring
/
/ Summer
Year: 20
Returning Student
____________________________________
Estimated Cumulative Collegiate GPA:
High School Graduation Date (mm/yyyy): ____/
Please select one from the list below and submit the requested documentation as proof of your eligibility to live off-campus
while attending Texas Tech University:
Upperclassman:
 I have successfully completed at least thirty (30) hours of academic credit in a collegiate setting and/or I have enrolled in Graduate School,
Law School, or Medical School. I understand that Credit by Exam (CLEP, ACT, SAT, Advanced Placement) and hours received prior to
high school graduation will not be considered for this request. Official/Unofficial transcript copies may be required if all of your hours
cannot be verified with the Office of the Registrar. 
 I have lived in student housing at a collegiate setting for at least two regular semesters. Proof of residency may be required.
Commuter:
 I reside and will continue to reside in the established primary residence of my parents/or legal guardian. Submit a Sworn Statement of
Commuting Status.
Non-traditional Student:
 I am married, I have served in the active military, I have a dependent child(ren) who resides with me, and/or I will be 21 years of age or
older on or before the first day of classes of the semester for which I am requesting an exemption. The following documents may be
required: A copy of your marriage license, driver’s license, passport, birth certificate, DD214, tax return, and/or dependant’s birth
certificate.
 I have been awarded a university scholarship/sponsorship managed by a university department or college, which minimally includes the
equivalent of the current academic year’s room, board, tuition, fees, and textbooks (as estimated by the Financial Aid Office ). Attach a
letter from awarding department confirming their approval of the proposed arrangements and verification of full-scholarship/sponsorship
status.
Extreme Hardship:
 I will present sufficient evidence of a financial hardship based on my financial package as determined by Student Financial Aid. Submit a
Financial Hardship form. A copy of the Federal Financial Aid Application (FAFSA) may also be required. 
 I will present sufficient and satisfactory evidence of a medical condition for which on-campus accommodations cannot be made. Submit a
Medical Hardship form and a letter from your treating physician on letterhead.
Other:
 I will present sufficient evidence of a personal hardship. I understand that I do not meet any of the above requirements for exemption from
the residency requirement and as such am subject to the appeals process. Submit a Statement that includes detailed information about
your situation and why you are requesting an exemption. Include any other documentation you feel would be pertinent to your request.
I have read and understand the information provided on this form. I verify that the information provided here is true and correct, and I understand that false or misleading information provided
by me shall be grounds for taking disciplinary action against me in accordance with the Code of Student Conduct. I also understand that all information provided is subject to verification and
that additional information may be required by University Student Housing.
Student Name (Please Print)
Date of Birth
Permanent Home Address – Street
City
Student Signature
Student ID Number (R#)
State
Zip Code
Telephone Number/Email Address
Date
FOR OFFICE USE ONLY:
EXEMPT / NOT EXEMPT / CANCELLED

APPEAL
OVERTURNED / CONFIRMED
INITIALS/SIGNATURE:
INITIALS/SIGNATURE:
/
DATE:____/____/________
/
DATE:____/____/________
Box 41141 | Lubbock, Texas 79409-1141 | T 806.742.2661 | F 806.742.2696
An EEO/Affirmative Action Institution