Summer School 2014 Housing Application

Profile Information
W Number:  
First Name: Last Name:  
Cell Phone: Email:  
Current Hall: Current Room:  
If you have not lived in a hall previously, please supply us with your current address   Address:          
  Address 2:      
  City: State:   Zip:
Room Request

Rates:   Single Double  
  Less than 7 nights $25/day $17/day  
  7 or more nights $159/week  $99/week
Room Type:    
Arrival Date:
Departure Date:
Please use the date format "m/d/yy" or "mm/dd/yyyy"

Reason for Stay
Other Reason:

Meal Plan Requirement

If you are requesting housing for more than one week, you are required to choose a meal plan from one of the meal plan options listed other than "No Meals Required".


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