Pet Policy Appeal Form

Your Student Information

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Your complex/dorm/room(Required):

This field is required.

Your room number:

Involved Parties

Name or Organization

Select Role

ID Number

Phone number

Email address

Questions

What types of pet do you have? (Species, breed, etc.)(Required) This field is required.

What is your pet's name?(Required) This field is required.

As of today, what is the age of your pet (year, month)?(Required) This field is required.

Where is your pet currently living?(Required) This field is required.

From where and when did you obtain your pet?(Required) This field is required.

How long have you had the pet (year,month)?(Required) This field is required.

Please select all of the policy elements in which your pet does not currently comply.(Required)

age (1 year for dogs, 6 months for cats) length of ownership (10 months for dogs, 3 months for cats) weight (60 lbs for dogs) not yet spayed/neutered vaccinations not up to date other

You must make at least one selection.

If selected "other" above, please explain below. This field is required.

Please provide a thorough explanation of how your pet is not currently in compliance with the pet policy.(Required) This field is required.

Please explain your situation and why you believe your appeal should be granted as an exception to the Pet Policy.(Required) This field is required.

Please explain any pertinent pet history (i.e. how your pet interacts with other pets and people, if your pet was abused, etc.).(Required) This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Select copy recipients

Lauren Burr, Director of Residence Life

Your Student Information

Involved Parties

Questions

Supporting Documentation

Select copy recipients

Submission