Summer 2017 Housing Request Form
Please complete this form if you are requesting to reside on campus after May 21. Note that summer housing at Collegiate Village is unavailable.
Email address *
What is your First Name? *
Your answer
What is your Last Name? *
Your answer
What is your cell phone number? *
Please use the xxx-xxx-xxxx format
Your answer
What year do you anticipate Graduating from Daemen? *
Are you a current Daemen student? *
Housing is only available for Daemen College students.
For which time period would you like housing? *
I understand that Session I move in day is June 4 starting at 12 noon, and Session II move in day is July 9 at 12 noon. Move Out Day for Session I is July 8, and move out day for Session II and III is August 10. *
For what reason do you need summer housing on campus? *
I understand that I will be paired with three other roommates for the summer. However, there is someone with whom I'd like placed in my apartment. That person's name is:
Both apartment mates must write each others names in order to be placed together.
Your answer
What is the name of an emergency contact for you? *
Your answer
What is that person's relationship to you? *
Your answer
What is the phone number of that emergency contact? *
Please use the xxx-xxx-xxxx format.
Your answer
What day to you wish to move into the Campus Apartments? *
Please note this is not confirmed until you receive an email from Residence Life
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/
DD
What day to you wish to move out of the Campus Apartments? *
MM
/
DD
I understand the Housing fee will be applied to my student bill in the following amount: $175/week in Campus Apartments. *
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