Office of Housing/Residence Life & Dining Services

Contact Us

Office of Housing/Residence Life & Dining Services
Miller Hall, Room 121
P.O. Box 4596
Clarksville, TN 37044
(931) 221-7444
Fax: (931) 221-7165
housing@apsu.edu

Notice / Cancellation of Application - EH

For Emerald Hill Apartments Only

Student Name (Last, First): *

Date: *

Student A#: *

Cancel Application:

I hereby cancel my pending application for Emerald Hill Apartments. To date, I have not been offered an apartment.

(Note: Cancellations after the start of the term are not allowed. In this case use a Contract Release Appeal form)

Notice of Intent to Vacate:

I hereby give notice to vacate my current Emerald Hill Apartment.

(Note: If this not a 30-day notice please send a letter of appeal to Housing)

Estimated Vacating Date:

Apartment #:

Forwarding Address:

(Street, City, State, Zip)

Electronic Signature: *

I affirm

By checking the "I affirm" box, I affirm that all of the information provided on this form is accurate and that I am the authorized owner of the indicated A# and APSU email account. I also acknowledge I hereby agree by the terms and conditions that apply to the changes I have requested.

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