Residential Requirement Exemption Request - Seattle University
Residential Requirement Exemption Request - Seattle University
Residential Requirement Exemption Request - Seattle University
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______________________________________<br />
(name)<br />
______________________________________<br />
(street address)<br />
______________________________________<br />
(city, state, zip code)<br />
__________________<br />
(date)<br />
Office of the Vice President for Student Development<br />
<strong>Seattle</strong> <strong>University</strong><br />
901 12 th Avenue<br />
P.O. Box 222000<br />
<strong>Seattle</strong>, Wa 98122<br />
To whom it may concern,<br />
Please be advised that my student, ________________________ (ID #______________) plans to live<br />
with me, _______________ their family member at the above address for the ____________ academic<br />
year and commute to and from campus daily.<br />
Sincerely,<br />
______________________________________<br />
(signature)<br />
______________________________________<br />
(printed name)<br />
-------------------------------------------------------------------------------------------------------------------------------<br />
FOR NOTARY USE ONLY:<br />
On this _________ day of _________ in the year _________, before me, the undersigned notary public, personally<br />
appeared ___________________________, known to me to be the person(s) whose name(s) is/are subscribed to the<br />
within instrument and acknowledge that he/she/they executed the same for the purposes therein contained.<br />
In witness whereof, I hereunto set my hand and official seal.<br />
_____________________________________________<br />
(signature)<br />
Notary Public<br />
Printed Name: _________________________________<br />
My commission expires: _________________________
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