Breakstay Form

Thanksgiving Break-Stay Request Form

Deadline: November 24, 2008

Please fill out this online form if you would like to request a break-stay for November 25 (at 10pm) - November 30 (at 10am). Please contact the office of Residential Life at Rose Hill if you have any questions.

resliferh@fordham.edu or (718) 817-3080

Online Break-Stay Request Form

First Name:
Last Name:
Fordham ID number: NO dashes !
Cell Phone Number:
Email Address:
Hall:
APARTMENT Number/Letter: NECESSARY for Ohare, Walsh & BCH
ROOM Number/Letter: example = Bishops 212, Jogues 344

Reason for request to stay over break:

Special Requests (for guests): Please note: Only family members may be requested as potential guests. All residents with these requests, must have approval from their RD in order for the guests to be permitted.