Widener Carrel Request Form

Carrel assignments will be made within one week of application.

Name:
  (last, first, middle initial)
Your Status: Graduate Student
Undergraduate in Senior Year
Faculty/Officer/Research Assistant
Department:
Phone Number:
E-mail:
Check One:

New application (not currently assigned to a carrel)
Renewal of current assignment
     Carrel number now assigned
    

If this is a new application, which floor do you prefer:
  Any floor
1
2
3
4 		5
6
P2
P3
Additional Comments:
Date your carrel is no longer needed:
Note: Due to high demand for carrels, up to three individuals may be assigned to each carrel.
I agree to abide by the rules outlined in the Widener Carrel Policy and understand that a violation may lead to termination of my carrel privilege.
 
(first and last name)