| Student Name: | Room/Unit Number: | ||
|---|---|---|---|
| Move-in Date: | Move-out Date: |
| Area/Item | Condition (Good / Needs Repair / Damaged) | Notes |
|---|---|---|
| Walls | ||
| Flooring/Carpet | ||
| Doors & Locks | ||
| Windows & Screens | ||
| Furniture | ||
| Lighting/Fixtures | ||
| Bathroom | ||
| Kitchen | ||
| Appliances | ||
| Windows Coverings (Blinds/Curtains) | ||
| Closets | ||
| Other |
| Student Signature: | Date: | ||
|---|---|---|---|
| Inspector/Staff Signature: | Date: |