Fordham University            The Jesuit University of New York
 


Winter Online Break-Stay Request Form

All residence halls except Belmont Community Housing, Campbell Hall and Salice Conley Hall close for the duration of winter break on December 19th at noon.

Walsh Hall reopens on January 2nd at 10am. All other residence halls reopen on January 12th at 10am. Locks to these buildings will be changed from Dec 19th – Jan 12th. Please make your travel arrangements accordingly!

Students who would like to make arrangements to stay during the break, must fill out this online breakstay form before the 18th of December. They must be approved by their RD to stay. Hosts must be present at all times to accompany their guests while in the building.

Residents who need to stay during the break, must make arrangements to stay with students in Walsh Hall, Campbell Hall, Salice Conley Hall or Belmont Community Housing based on the dates that each hall is open. All other residence halls reopen Sunday Jan 12th at 10am. There are no early arrivals permitted!

Residents who have not been approved for break stay must leave the residence halls 24 hours after their last final exam – residents must let RA know when they are leaving as well as sign the "We Are Out of Here" form on their door once they leave in December

Any resident who stays in the residence hall after 24 hours after their final exam and who has not received RD permission to do so will be charged $25.00/hour that they stay


* All fields in red are required

STUDENT REQUESTING BREAKSTAY PLEASE FILL OUT THIS PORTION
First Name:
Last Name:
Fordham ID number: A - -
(enter numbers only)
Cell Phone Number: - -
Email Address:
Hall:
ROOM
Number/ Letter:
Requested START Date of Stay Select Date

 

Requested END Date of Stay Select Date
Reason for request:
Emergency Contact Name:
Emergency Contact Phone: - -
Special requests or comments your RD needs to know before reviewing your request:

Please choose the below statement that applies to you:
I live in BCH or CSC and do not need a host.
I live in Walsh Hall and will be staying in Walsh while it is open from January 2nd to January 12th.
I live in Walsh Hall, but will stay in Campbell Hall, Salice Conley Hall or BCH during the period that Walsh Hall is closed
I do not live in Walsh Hall, Campbell Hall, Salice Conley Hall or BCH but I have found a host in one of these buildings to stay with during the break.


THE STUDENT HOSTING THE ABOVE STUDENT MUST FILL OUT THIS PORTION
First Name:
Last Name:
Fordham ID number: A - -
(enter numbers only)
Cell Phone Number: - -
Email Address:
Hall:
ROOM
Number/ Letter:
Emergency Contact Name:
Emergency Contact Phone: - -
Please read and initial: I understand that by entering my initials below, I take full responsibility for theactions of the student I am choosing to host for the period of time they spend in my care:
Special requests or comments your RD needs to know before reviewing your request:
 

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