ALABAMA AGRICULTURAL AND MECHANICAL UNIVERSITY NORMAL, ALABAMA INTENT TO VACATE FORM NOTE: This form must be completed by all students who plan to vacate University housing (for whatever reason) before the end of the academic year. DATE__________________________ NAME_________________________________________BANNER NUMBER________________________ RESIDENCE HALL________________________________ROOM NUMBER__________________________ OFF CAMPUS ADDRESS__________________________________________________________________ REASON FOR VACATING CAMPUS HOUSING_________________________________________________ _____________________________________________________________________________________ VACATE DATE_______________________________ IMPORTANT PLEASE READ I, THE UNDERSIGNED, FULLY UNDERSTAND THAT I WILL FORFEIT/BE CHARGED HOUSING FEES FOR THE CURRENT ACADEMIC YEAR AS STATED IN THE CONTRACT FOR STUDENT HOUSING. _______________________________________ Student Signature After ALL signatures have been secured, return this form to the Office of Residential Life and Housing: Registrar’s Office __________________________________ Patton Hall Financial Aid Office __________________________________ Patton Hall Resident Hall Director __________________________________ (Sign only if you have the room key) Cashier’s/ Business Office __________________________________ Patton Hall _____________________________________ _______________________________________________ Date received in the Residential Life and Housing __________________ Coordinator of Student Housing _________________________________ Revised 2010