License Cancellation & Termination Request

License Term: *
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The Student Housing License Agreement is a legally binding contract in effect for the full academic year. Any first-time freshmen who are required to live on-campus will have their housing hold replaced on their MyCSUSM accounts after their cancellation/termination is processed.
This is for the license term of August 2018 - May 2019. This form is ONLY if you are licensed for the future term.


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Student Signature *
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