If you chose other, please list the reason:
If you are staying to work, employer verification must be turned in by due date
of break application for you to be considered. No exceptions.
I have read and accept the Break Housing Policies & Procedures. The information I have
provided on my request is accurate. I have also had an opportunity to ask questions regarding
Break Housing, including any questions regarding security risks, reduced staffing, services
and facilities. I accept full responsibility and release Capital University from any loss,
damage or injury that I may sustain while on campus during break.