Undergraduate Summer Housing Reservation
Please complete this form no later than 4pm on Friday, April 26th, 2013. Housing costs $105.00 per week for a double occupancy (shared) and $125.00 per week for a single/private (if available).
Student ID Number:
Current Room Assignment:
Next Fall Room Assignment:
Any Special Needs (i.e., accessibility)
Requested roommates names (if applicable)
Requesting Room Occupancy:
Preferred Floor Level:
CHECK WEEKS YOU WILL NEED HOUSING:
By submitting this form, you agree to extend your 2012-2013 Housing and Dining Service Agreement with the Office of Residence Life for the Summer session. I am in acknowledgement of that my student account will be charged the total amount of my summer housing costs and that there is a $5 program fee if I intend to stay longer than two weeks this summer.