Iḷisaġvik College Dorm Reservation Form
Please complete this form to request a reservation for Iḷisaġvik College dorm housing (both in-house and second party). Please take time to fill in every section of this form. All reservations must be made a MINIMUM of ONE WEEK in advance. Late requests will result in increased rates. Upon check-in, guests will be required to provide form of payment to cover incidental charges. Cancellations made less than 72 hours in advance will result in charge of first night stay unless otherwise approved by Dean of Students. If you have questions or need assistance, please contact Iḷisaġvik College Student Support Coordinator (907) 852-1766.
Occupant's Name *
(First Name Last Name)
Your answer
Date of Birth *
(MM-DD-YY)
Your answer
Social Security Number *
Iḷisaġvik College Background Check
Your answer
Male or Female *
Type of Occupant *
Affiliation with College *
College Affiliated Guests MUST Provide Description
Check-In Date *
(MM-DD-YY)
Your answer
Check-Out Date *
(MM-DD-YY)
MM
/
DD
/
YYYY
Transportation To and From Airport *
Rates (meals not included) *
Please note reservations made less than 1 week in advance will result in double the rates listed below.
Payment Information *
Email Address *
Confirmation Email will be sent here
Your answer
Contact Person / Phone Number *
Your answer
Internal Account Code *
Please provide Class name and or Training with Account Code
Your answer
Second Party Information *
Billing Information
Your answer
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