Dorm Room Deposit Review

Student Name - Individual Requesting Deposit Review*

First Last

Student Email*

Dorm Leader's Name - Individual Reviewing Room*

First Last

Dorm Room Number*

Cleaning Requirements

Window Cleaning

Desk, Shelving and Closet

All surfaces washed and dusted (all shelves including top of closet and bookshelf)
No stains on desk or shelves

Beds & Dresser

Additional Cleaning

Door & Door jams - wiped down
Pipes - dusted
Ceiling - cobwebs removed
Heater/Radiotor - wiped down
Floor Vacuumed - including under bed, dresser, desk and radiator
Walls washed - free from mold, dirt, stains etc.
Light diffuser - dusted and wiped down if necessary
Remove all personal food from the dorm fridge and freezer (if leaving campus) or label all food (if staying)

Please attach a picture of the entire room*

Drop files here or

Max. file size: 50 MB.

Damage, Missing Items, Personal Items left*

Items Missing (trashcans, chairs, mattress, bed frame, dresser, blinds, clothing rod, etc.)
Items Damaged (door, carpet, window, blinds, bed frame, dresser drawers, smoke detector, etc.)
Personal items not completely removed (trash, chairs, clothing, furniture, etc.)
Nothing damaged, missing or left behind

Please leave a description / explanation for any damage, missing items or personal belongings left behind

Please attach a picture of any damage, missing items or personal belongings left behind

Drop files here or

Max. file size: 50 MB.

Does the student meet all Room Review requirements?*

Yes - Full $100 room deposit to be credited
No - Missed Deadline - Room is cleaned with no damage or missing items but missed the deadline
No - Room not cleaned to standard - but nothing damaged or missing
No - Fines to be assessed - missing or damaged items, personal belongings left