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Summer Intern Housing Form

Summer Intern Housing Application Request Form

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

* = required field

Name *

First

Last

What university are you currently attending? *

University Email Address *

Alternate Email Address

Cell Phone Number *

###

####

Home Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Date of Birth *

YYYY

Gender

Male

Femaie

Company/Business/Organization where you will be interning? *

Supervisor's Name *

First

Last

Supervisor's Phone Number *

###

####

Supervisor's Email Address *

Company/Business/Organization Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

I understand there is an eight (8) week minimum stay *

Check-in date (CHECK-IN HOURS ARE 5:00 - 8:00 PM ONLY) *

YYYY

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. *

YYYY

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. *

Yes, I understand and agree to the terms

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Malone University - Christ's Kingdom First

Summer Intern Housing Application Request Form

Contact Info

Cindy Lundin

Director of Event Services

Contact Info

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