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Room Change Request Form

Requesting a Room Change

The process for submitting a room change request begins with you resident educator. Your RE can help decide the best course of action, regardless of why you're interested in moving to a different space. 

Once you've spoken with your RE, this form may be completed to escalate your request to a professional staff member in the Office of Student Life.

First Name:
Last Name:
Preferred Name:
Gender: Male Female
Email Address:
Point Park ID Number:
Cell Phone Number:
Class Standing: Freshman   Sophomore   Junior   Senior
Current Residence Hall and Room Number:
Have you spoken to your roommate(s)
about requesting a room change?
Yes No
What is the name of the Residence Life staff member (RE) you spoke with?
List your reasons for requesting a room
change, and please be specific:

Room/residence hall where you wish to move:

(If you have no preference, type "No Preference")

Have you discussed the prospect of moving
in with the person(s) currently occupying
the room you're requesting?

Yes No

Print a Copy for Your Records (CTL + P)

This form must be completed in its entirety.  incomplete submissions will not be considered.  if any questions are left unanswered, you must resubmit the form in order for your request to be considered.

Once you've completed each question and submitted the form, you will be contacted by a staff member in the Office of Student Life no later than 48 business hours from the submission time.