AtlantiCare Rotation Housing
This form is used to request housing if you are rotating to AtlantiCare. We have six 2-bedroom/1-bathroom fully furnished apartments.

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.

NOTES:

The office at the apartment complex is open M-F 9-5 and Sat 9-1. You will need to make special arrangements with Ilene to pick up your keys outside of these hours.

There is free parking at the complex.

Your FIRST Name *
Your answer
Your LAST Name *
Your answer
Your Email *
Your answer
Your Cell # *
Your answer
Clerkship You are Taking that Requires Housing *
Your answer
Start Date for Housing (use the Saturday date) *
MM
/
DD
/
YYYY
End Date for Housing (use the Friday date) *
MM
/
DD
/
YYYY
I am comfortable sharing:
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