Official Petition Form

Before completing this form, you must first cancel your housing by emailing Housing@northeastern.edu and received a reply. This form is not to request a cancellation, you must first cancel your housing before completing this form.
By completing this form you are indicating that you wish to petition charges or cancellation fees for a specific semester. If you fail to complete the form completely it will be returned to you, and not submitted for review. Once this form is completed it will be automatically submitted for review. Review will take about 2 weeks if the form is complete and all necessary documentation is attached.

General Contact Information

First Name *

Last Name *

NUID (No dashes) * 🛈

Permanent Address: *

City: *

State: *

Zip Code: *

Cell Phone Number: *

E-mail Address: *

Step 1. Select your student type:

*

First Year/Transfer

Upperclassmen

Graduate

Law

Step 2. Select the session(s) you are petitioning:

Select year *

Select Term *

Step 3. Indicate the reason for the petition: (Check all that apply, READ CAREFULLY)

Off Campus Apartment ** 🛈

I have obtained an off campus apartment.

I have included a copy of the lease/rental agreement or the "Terms of Residency"

Commuting From Home ** 🛈

I am commuting from home.

I have included a letter of housing verification from a parent/guardian/relative.

Study-Abroad program**

I have spoken to my Academic/Study Abroad advisor.

I have included e-mail verification from my advisor.

Co-op position outside Boston**

I have spoken to my Co-op advisor.

I have included e-mail verification from my advisor.

Financial Hardship**

I have spoken to my Financial Aid/Student Financial Services advisor.

I have included e-mail verification from my advisor.

Withdrawing from Northeastern

I have officially withdrawn from Northeastern.

I have included e-mail verification from my advisor.

I have a copy of my withdrawl form available for reference.

Other Reason

Other: Other:

**You must include supporting documentation to validate this type of reason. You can upload your document here.

Additional Uploading Space:

Please use the space below to write your formal petition. Be sure to include information that supports your claim. Any letters or attachments used for verification must be uploaded with this official document or emailed to Housing and Residential Life (housing@northeastern.edu).

Petition body: *

Date Submitted