Appeal Form For students to appeal the first-year live-on requirement. First Name*Last Name*Email Address*Phone Number*NC State Student ID Number (if available)This should be a nine-digit number found on your ID card.NC State Unity ID (if available)This should be an alphabetical combination of your first initial, middle initial, and first six letters of your last name but may be followed by a number.Exemption Type*I am a first-year student who will be 21 before the first day of class. (No additional documentation required)I am a first-year student who will be 16 years of age or younger on the first day of class. (No additional documentation required)I am married or I have a domestic partner. A copy of my marriage certificate is included.I have a dependent child(ren). A copy of the dependent’s birth certificate and a copy of my most recent Federal tax return is included.I am a military veteran. A copy of my DD-214 is included.I will be living with my parents or legal guardian. Proof of address is included.I was previously enrolled in a post-secondary college or university. Proof of enrollment is included.I am requesting an appeal for an extenuating circumstance.Appealing for Extenuating CircumstancesReligious laws or other requirements that cannot be accommodated in University Housing. Documentation is included.Medical and disability hardship. (Proper documentation is filed with the NC State Disability Services Office). (Allergies and respiratory problems are not considered an immediate appeal, students will need to provide sufficient medical documentation with appeal).Financial hardship.Other. Please explain below and provide copies of supporting documentation.If you checked "extenuating circumstances" above, this question is required.I am requesting an appeal from the university’s first-year live-on requirement based upon the following reason(s): (please be as detailed as possible)Supporting Documentation Drop files here or (maximum file size is 64MB)NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.