Student Services - Graduate Residence Hall Reservation Form

Residence Hall Reservation Form
(Graduate Intensive Classes)

Name		*
Current Phone		*
Current Email		*
Student ID		*
Class Level		*
Intensive Term		*
Room Start Date		*
Room End Date		*
Board Start Date		*
Board End Date		*
Duration $39 per day (housing =$17. meal plan=$22)	1 week (5 days) $195 2 Weeks (10 days) - $390 2 Weeks (12 days) - $468	*
Arrival Date
Departure Date
Comments / Special Requests