New Student Housing Deposit Refund Request

This form is only for new/transfer/prospective students. Current students should please refer to the University catalog or email the Housing Office at housing@leeuniversity.edu
Beginning Semester Applied to Lee University which you are requesting a refund for: *


Reason for request of refund:

Comments:



Name of Student (First and Last) *


Date of Birth *


Email *
example@example.com


Phone Number *
Please provide a valid phone number


Lee University Student ID (if known)
Ex: 0712345


How did you originally pay the Housing Deposit?Note: If your refund request is approved, you will be repaid in the form by which you originally paid. If you paid by credit/debit card, yoru refund will be sent back to that card. *


Recipient Mailing Address: *
Ex: 123 Address St. City, State/Province 12345


Today's Date *


Signature *