Office of Student Affairs

Change of Residency & Contract Cancellation 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.
  • - cancelling housing contract
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 "Moving 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.

Moving Off Campus

By selecting "Moving Off Campus", you are confirming that you wish to terminate your Housing Contract with Missouri Valley College and  live in an off-campus residency while attending classes starting at the effective date marked below. Please note that contract termination must be done in accordance with the time frame outlined in the Housing Contract. Cancelling contract outside of the designated time frame will result in full charge for room and board.

Cancelling Contract

By selecting "Cancelling Contract", you are confirming that you wish to terminate your Housing Contract with Missouri Valley College because you are not planning on re-enrolling in classes or returning to the College for the effective date marked below. Please note that contract termination must be done in accordance with the time frame outlined in the Housing Contract. Cancelling contract outside of the designated time frame will result in full charge for room and board.

Effective:
If Moving Off Campus, you must provide 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.