DA Key Receipt Form Key Receipt Form This form is to document key pick-up and drop-off. Select here ONLY if NON-student key distributionFacilities Services staffResidence Life staffOtherNote if not a student: for all fields below, replace “student” and “resident” with “employee” information so known fields are populated with correct information.If other, include info. hereFull Legal Name of Resident * Required First Last Student's UMW e-mail address * Required Name of UMW employee handling key/completing this form * RequiredGeorge MarchAloysious KabongeAnnelen CallawayCaitlin HarrisDeana BrownElizabeth KyneGavin HaigIaroslavna KovalenkoIsla WilliamsJackson PetersonJessica ManuMargaret DyeMary GebretsadikNatnael TilahunSamuel DavisSean GitchellSean ManloveWillow CandageYonatan AsfawZinnia NygrenOther (type below once selected)Name of OTHER employee handling key/completing this formStudent is: * Requiredpicking up a keydropping off a keypicking up RFIDdropping off RFIDpicking up TEMP key/carddropping off TEMP key/cardBuilding * RequiredArringtonBallBushnellCustisEagle LandingJeffersonLinkMadisonMasonRandolphUMW ApartmentsVirginiaWestmorelandWillardOtherBuilding other * RequiredWhat room #? * Required(If UMW Apartments or Eagle Landing, include A, B. or C)Key code/RFID number * Required Δ