Summer Intern Housing Application Request Form

Upon approval of your form, you will be notified via email.

* = required field

Name *
University Email Address *
Alternate Email Address
Cell Phone Number *
Home Address *
Date of Birth *
Gender
Supervisor's Name *
Supervisor's Phone Number *
Supervisor's Email Address *
Company/Business/Organization Address *
Check-in date (CHECK-IN HOURS ARE 5:00 - 8:00 PM ONLY) *
Check-out date (CHECK-OUT TIME IS NO LATER THAN 10:00 AM) CHECK-OUT DATE WILL NOT BE EXTENDED PAST TUESDAY, AUGUST 8, 2023. NO EXCEPTIONS. *
I understand and agree that if my summer intern housing application is approved the first month payment (non-refundable) will be due upon receipt of the lease agreement. Failure to return the signed lease agreement & make the first payment immediately will result in loss of guaranteed summer housing on campus. *

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