LYCOMING COLLEGE

Summer Housing Registration Form

Deadline for submission is Monday, April 14th at noon.

Student requests received after this deadline will be reviewed and honored on a space available basis. Students will be notified via email of the status of their request.

Summer Housing is ONLY* available to those students who:

1) Are working on campus for a department at least 20 hours per week

2) Are enrolled in May Term, Summer I and/or II

3) Are participating in a college approved internship (for Lycoming College Credit)

*If you wish to inquire about summer housing for a reason other than those listed above, please contact the Office of Residendial Life for information. Please do not complete this form

First Name	MI	Last Name

Email Address	Contact Phone (Cell)

Check ALL that APPLY.

May Term
May Term Trip
Summer Session I
Summer Session II
Working On Campus

WORKING ON CAMPUS
If you checked that you will be working on campus, you must provide the following information:

Department	Contact Person

Begin Date	End Date

MAY TERM TRIP
If you checked that you will be here for May Term Trip, please list the dates you will be on campus; also indicate if you will need to store personal items while you are away:

Begin Date	End Date	Store Items

ROOMMATES
Please list roommates you would like to live with this summer.
All roommate preferences must be mutual.
We cannot guarantee that requests will be honored.
(Apartments vary in size from two to five residents.)

Roommate #1	Roommate #2

Roommate #3	Roommate #4

SINGLES
If you would like to request a single for May Term, please check the following box.
Residential Life will try to honor your request; we cannot, however, guarantee a single.
Note: There is an increased fee for a single.

Single

INTERNSHIPS
Internships must be approved through the Business Office.
Students with an approved internship may request on-campus housing.
The following information must be submitted to request a review of an internship.

Company Name	Company Contact Person	Contact Phone Number

May Term students are housed in Rich Hall. All other summer residents are placed in one of the apartments based on availability. You will receive an email providing information on your housing assignment and move-in procedures the last week of the semester.

Housing is available through August 10th. If you require housing after that date until the beginning of the Fall 2008 semester, you must request to return to campus early by writing to the Dean of Student Affairs, c/o Campus Box 158.