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Residence Requirement Exemption

    Your First Name*

    Your Last Name*

    Home Address*

    City*

    State*

    Zip*

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    Daytime Phone

    Your Email*

    I am a freshmen or sophomore at Holy Cross College applying for an exemption from the requirement to live in college residence halls based on the following criteria (check all that apply).

    1. I have earned 60 or more credit hours.2. I have earned 54 or more credit hours and have lived 4 semesters in on campus housing.3. I will be at least 21 years of age prior to the first day of class.4. I am married.5. I am a veteran of the Armed Forces.6. I will be living with my parents/legal gaurdian.

    (If #5 is checked, please fax Form DD-214 to Director of Residence Life at 574-239-8323)
    (If #6 is checked, complete the following information below)

    Parent/Guardian Name

    Parent/Guardian Address

    Parent/Guardian Email

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