AppStateESS/homestead

<h2>Confirm Roommate Request - {NAME}</h2>

{START_FORM}

<p>By copying the word in the image above into the box below, you are indicating that you understand that you are <b>confirming roommate status with {NAME}</b>.</p>

{CAPTCHA_IMAGE}<br />
<!-- BEGIN RLC_WITHDRAWAL -->
<p style="display: none">{RLC}</p>
<p><b style="color: #F00">Residential Learning Communities Warning:</b> You have applied for a Residential Learning Community.  <b>Accepting this roommate request will withdraw your Residential Learning Communities Application.</b></p>
<!-- END RLC_WITHDRAWAL -->

{CAPTCHA} {SUBMIT}

{END_FORM}