Guest Housing Request Form

* indicates required field

Contact Information

*First Name Middle Name (leave blank if not applicable) *Last Name *Gender Male Female UIN (leave blank if not applicable) *Email *Phone *Date of Birth

*Address Line 1 Address Line 2 (optional) *City *State/Province *Zip Code/Postal Code *Country

Guest Information

Please allow three business days between placing a request and your requested check-in date. While we strive to accommodate all requests, we may be unable to accommodate requests that do not provide this processing time.

Check-in time is 4:00PM and check-out time is 10:00AM.

Notice: Failure to check-out prior to 10:00AM will result in additional fees.

*Arrival Date *Departure Date

I have stayed with UIC Guest Housing before.

*Room Type

1 Bedroom Guest Housing Apartment - Daily - $105, Weekly - $525 , Monthly - $2,000 (full apartment with private bedroom, living room, kitchen and bath) 2 Bedroom Guest Housing Apartment - Daily - $131, Weekly - $650 , Monthly - $2,500 (full apartment with private bedroom, living room, kitchen and bath) Shared Spaces - Daily - $75, Weekly - $300, Monthly - $1,000 (shared spaces with private bedroom and shared living room, kitchen and bath)

Additional Comments

Please enter your reason for requesting to stay in Guest Housing:

Terms and Conditions

By clicking this box, I hereby agree to the terms and conditions outlined in the UIC Guest Housing Contract.