Office of Student Affairs

Change of Residency Form

Complete this form if you:

  • - currently live off campus and wish to move on campus.
  • - currently live on campus and wish to move off campus.
This form is NOT to be used for changing your housing assignment/placement.

First Name: Last Name:
Email:
Student is Moving: On Campus
By selecting "On Campus", you are confirming that you wish to live in campus housing. Please complete the Housing Contract, found here if you have not done so already.		 Off Campus
By selecting "Off Campus", you are confirming that you wish to terminate your Housing Contract with Missouri Valley College for the current academic year. Please note that contract termination must be done in accordance with the time frame outlined in the Housing Contract. Terminating contracts outside of the designated time frame will result in full charge for room and board.
If Moving Off Campus Please Fill out the Information Below:
Address: 
City: State:
Zip Code:
Phone:
Please note: This form is not a withdrawal form. If you intend to withdraw from the College completely, please contact the Office of Student Success at (660) 831-4016 or (660) 831-4638.