Residence Life | Break Request Form

51ÁÔÆæ

Housing Break Request

SIGN UP FOR FALL BREAK HOUSING

The residence halls will close for Fall Break on Wednesday, October 14th at 5pm until Sunday, October 18th, 2026. Residents who have a reason to reside on campus during this time frame should submit this form by Monday, October 12th at 5pm. There is no cost for staying over break. If you are not staying for the entire break, please include in the comments what dates you will be staying on campus.

Any student who requires housing over the Fall Break period must complete a break housing form. Only students who meet the following requirements will be approved to remain on campus during break:

  • Student workers required to work any dates/times that the residence halls are closed. Your supervisor must send us an email or you can send us a screenshot of your official schedule to reslife@lewisu.edu stating the dates that you are working in the area over break. Without supervisor communication or a copy of your schedule by October 12th by 5pm your break request will be denied.
  • Out-of-state students
  • International students
  • Athletes in season. List your sport in the Additional Comments section
  • Students required to attend a class on any of the dates/times that the residence halls are closed

Dining Hours
Please note that dining services will be limited during break.


*Mandatory field

Residents Individual Information

*Student ID#: 

*First Name: 

*Last Name: 

*51ÁÔÆæ Email: 

*Phone: 

*Break: 

*Hall:

*Room #: (validate with the # on room door): 

*Reason for staying over Break:

Additional Comments/Reasons (if "Request exemption. Include details in Comments section" was selected):

` *Are you going to stay for the entire break? 
 Yes
 No
          If not, date(s) you are leaving:
          
` *Do you have a car on campus? 
 Yes
 No

*Security Password (Please type the word 51ÁÔÆæ Password):
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