Summer Housing Request Form

Summer Housing Request Form - Guests

NOTE: Visit the Early Arrival web page if you are seeking to arrive early for Fall semester. Do not use this form!

SUMMER REQUESTS FOR HOUSING IS NOW OPEN!

First Name:

Last Name:

eSIS ID (if applicable):

E-mail:

Gender:

Date of Birth:

Phone Number:

Emergency_Contact_Relationship:

Emergency Contact Name:

Emergency Contact Phone:

Date Arriving:

Date Leaving:

Room Preference:

Double with linen

Double without linen

Single with linen

Single without linen

Requested Roommate Name:

Reason for Housing Request:

By requesting summer housing, I agree to abide by all Residence Life policies and the terms and conditions of the Residence Life Contract.

University of Wisconsin-River Falls
410 S. 3rd Street, River Falls WI 54022 USA
Campus Information 715-425-3911