Housing Exception
Information and Application
Bellarmine University Residential Living Policy:
On-campus residence affords students added opportunity to become fully involved in college life. All fulltime students with 89 or less credit hours must live in the residence halls or with a local parent/legal
guardian (within a 50 mile radius of the university). Those students 22 years of age or older are
exempted from the policy. Exceptions may be made in special cases, but must have prior approval from
the Director of Housing and Residence Life. If a student does not live either with a parent/legal guardian
or in the halls and has not applied for an exception, the student may be subject to judicial sanctioning from
the University and/or housing fines.
Exception Process:
All documentation will be submitted to the Director of Housing and Residence Life. The Director
will make a decision of approval or denial based on submitted documentation.
Instructions:
Students wishing to request a release from the Residential Living Policy may do so by following the steps
below:
 Complete the Exception Application form
 Submit the completed form, student letter of request, all required information, and the
checklist of completion to the Housing and Residence Life Office by due date
Circumstances:
Students wishing to request a housing exception may do so under the following circumstances:
 Commuting: Residing with Parents/Legal Guardian
 Financial Hardship
 Documented medical condition
 Other extenuating circumstances: Other reasons that may not fall into one of the areas listed
above. Please fully explain the nature of the situation and provide any supporting documentation.
Procedures:
At the time a student submits the form, he/she may request an appointment to meet and discuss his/her
request with Director of Housing & Residence Life. If no appointment is made, the request will be
reviewed based on the written documentation submitted.
The Director will make a decision within five to seven (5 to 7) business days after meeting or following the
receipt of the documentation and will notify the student via email to his/her BU email address.
Appeal:
Students may make a written appeal within three business days of being informed of the Director’s
decision. Appeals are made to the Appeal Committee which includes: The Directors of Financial Aid, Food
Service, Admissions, Disability Services and Health Services. All appeals are to be made in writing. The
Petition to Appeal Form must be completed.
Appeals must be based on one or more of the following:
 Presence of new documentation
 Further explanation of situation
 Other extenuating circumstances
Housing Exception Application
Name: ___________________________________
Student ID# _____________________
Permanent Address: ____________________________________________________________________
Street
City
State
Zip
Cell Phone Number: _________________
Requesting exception for: □ Fall 20___
□ Spring 20___
Academic Information: Credit hours earned: _____ GPA: _______ Major: ______________
Housing Information:
□ New/Have NOT applied for housing
□ Applied/Assigned but not checked-in
□ Currently living in _______________
Hall/Room #
Circumstances/Procedures Detail
□ Commuting: Residing with
parent/ legal guardian
Required Documentation:
 Completed verification of Living with Parents Form
□ Financial hardship
Significant financial hardship that would place an excessive strain on the
student’s financial situation and prevent the student from attending
Bellarmine University if required to live in the residence halls.
Financial savings is not a valid request for financial hardship.
Required Documentation:
 Financial Hardship Worksheet
 Filed FAFSA with Estimated Family Contribution documented in
student letter
 Student’s award of financial aid through the Bellarmine University
Financial Aid Office
 Copy of potential lease agreement, if applicable (to verify rental
rates only, students should not sign or commit to any off-campus
lease agreement without an approved exception request)
□ Medical
Medical condition that requires special living accommodations that the
residence halls cannot reasonably provide.
Required Documentation:
 Authorization for Release of Confidential Information
 Provider Report Form
 Written Medical Provider Assessment
□ Other ______________________
For all other requests, the student must prove a need for which the
residence halls cannot reasonably provide and requires special off-campus
living arrangements.
Required Documentation:
 Any documentation verifying the student’s need and why that need
cannot be met on campus would be required.
Verification of Living with Parents
Bellarmine University Residential Living Policy:
On-campus residence affords students added opportunity to become fully involved in college life. All fulltime students with 89 or less credit hours must live in the residence halls or with a local parent/legal
guardian (within a 50 mile radius of the university). Those students 22 years of age or older are
exempted from the policy. Exceptions may be made in special cases, but must have prior approval from
the Director of Housing and Residence Life. If a student does not live either with a parent/legal guardian
or in the halls and has not applied for an exception, the student may be subject to judicial sanctioning from
the University and/or housing fines.
Semester you are applying for: ____________________________________________
I, ________________________________________________, will be living with my parent(s)/ legal guardian,
in their permanent principle residence The address is listed below:
____________________________________________________________________________________________________________
Address
City
Zip
Phone
__________________________________
________________
________________
Student Signature
BU Student ID
Date
I, ________________________________________________, am the parent/legal guardian of the student
listed above. I verify that my son or daughter will be living with me in my permanent,
principle residence at the address listed above.
__________________________________Parent or Legal Guardian’s Signature
The signatures and information of both parties were witnessed set forth here this ________day
of______________________________.
COMMONWEALTH OF KENTUCKY, COUNTY OF______________________________
My Commission Expires: _______________________________________
Notary Public, State At Large
Phone Number
By signing this verification, we understand that:
1. There is a continuing obligation to report any changes of address to the Bellarmine University Housing and
Residence Life Office.
2. A change in status of address may require the student to live in student housing pursuant to the University’s
housing policies; and
3. Falsification of this affidavit or failure to meet this continuing obligation may result in student conduct
action and fin