Philadelphia/St. Luke's Rotation Housing
This form is used to request housing if you are rotating to Philadelphia or to St. Luke's. Please work with your Clerkship Coordinator for information on housing at locations other than Philadelphia or Bethlehem; housing provided and coordinated by staff at the other locations.

If you need housing for multiple rotations that are not back to back, please fill out the form once for each stay. If your need is continuous, use the start date of the first rotation and end date of the last.

If your needs change (you no longer want housing or requested dates changed) you cannot modify a previous submission. Instead, email Ilene.Marker@temple.edu.

Housing provided is free of charge to the student.

NOTES:

Philadelphia: Whether you get housing in Philadelphia depends on availability. Please submit the form as soon as you know you need accommodations. Also, if your rotation is at Fox Chase Cancer Center, Jeanes or St. Christopher's, you will need a car to get there.

Bethlehem: Whenever possible, we will put students in single rooms, but there are times where students may need to share a double (one bedroom with two beds).

Your FIRST Name *
Your answer
Your LAST Name *
Your answer
Your Email *
Your answer
Your Cell # *
Your answer
Your Year *
Location of Housing Needed *
Clerkship You are Taking that Requires Housing *
Your answer
Start Date for Housing (use the Sunday date) *
MM
/
DD
/
YYYY
End Date for Housing (use the Saturday date) *
MM
/
DD
/
YYYY
Submit
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