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Brescia University
Related Information
Break Housing Request
Please Fill out the following so we can add you to the list for a specific break. Please understand that staying during break is a privilege. Conduct during breaks must be at it's best. You are not allowed visitors of any type during break periods. Please also understand that there are no meals during break periods. If you receive no reply from this e-mail you may assume that your request has been accepted.
Name
Email
Phone
Break Staying
Fall Break
Thanksgiving Break
Winter Break
Spring Break
Easter Break
Intercession
Dates Staying
Hall
Merici Hall
Saffer Hall
Trustees Hall
Young Hall
Reitz Hall
St. Joseph Hall
Room or Apartment #
Reason for Staying
Athletic Practice or Game
International
Distance
Academic Need
Club/Organization
Other
Team (If Athlete)
Reason (Other)
I agree to the above statement
Yes
No
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