PLEASE CAREFULLY READ THESE INSTRUCTIONS BEFORE PROCEEDING
In order to complete the Exit Counseling requirement, you must provide
your contact information and the contact information of 3 references.
- You will first provide your information.
- Your first reference must be your nearest relative not living with you.
- Your second and third references can be any relatives or friends, but they must be at different addresses.
Your Exit Counseling requirement will be updated within 5-7 business days of successfully completing this form.
Please ensure you complete each page of this form.
PLEASE BE ADVISED!!!!
Failure to submit reference information as requested will result in an incomplete Exit Counseling requirement.
Entering any invalid information will result in an incomplete Exit Counseling requirement.
