Residence Life

Winter Break Request Form

This form is only for students residing in traditional residence halls and residential houses.  If you live in Hendrix-owned apartments or the Language House, please review the Winter Break closing information here.

Not all requests will be granted.  This request should be as detailed as possible.  Anyone submitting such a request after the deadline of 5:00 p.m. Friday, November 22, 2019, will automatically be assessed a late fee of $75.00 to their student account if their request is granted. 

Each member of a Hendrix-sponsored group that will be here for all or part of the break must also complete a Winter Break Request Form no later than 5:00 p.m. on Friday, November 22, 2019, which will be approved only after the sponsor sends a roster to  If you are part of one of these groups, please make sure to specify this on your form.

No break requests will be reviewed during any period while the College is closed.

You will be informed of the status of your Winter Break Request by your Area Coordinator via email on December 5, 2019.

First Name:

Last Name:

Hendrix Email Address:

Hendrix ID Number:



Specific Residence Facility:

Room Number:

Please choose one:


Day requesting to leave:  [None] Select a Date Delete the Date

Day requesting to return:  [None] Select a Date Delete the Date

Please provide a specific and detailed reason for your request.  Not all requests will be granted.