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Extended Stay Request Form

The deadline to submit your extension request is Friday December 1, 2023 (4 pm).

Residence will officially close Thursday Dec 14, 2023 at noon.

King’s will respond to your extension request by email within five business days or by Friday December 8, 2023 at the latest.

First Name *

Last Name *

Email *

Student # *

Room #

Best Contact Phone Number *

Date of Last Exam

I am requesting:

If applying for late check out or early check in please indicate your departure/return date in following questions.

- Select One - Full Break Late Check Out Early Check In

If requesting late check out what is your departure date?

If requesting early check in what is your return date?

Disclaimer *

I am unable to depart residence 24 hours after my last exam and request an extension to stay in residence.
I understand that an extension request will only be granted for exceptional circumstances.
I also understand that should my request be approved, I am bound by the Student Handbook and Residence Life Community Living Standards during the entire length of my extension.

I understand and accept the above conditions.

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