UIC Campus Housing - Intern Application

Summer 2024 Intern Housing Application

*SSR IS NO LONGER AVIALABLE THIS SUMMER

*All fields are required

Applicant Info

Email *

Please make sure that you have access to this email.

First Name *
Middle Name
Last Name *
Address *
City *
State *
Zip Code *
Country
Phone Number *
Gender *
Date of Birth *
What College/University are you affiliated with? *Not UIC
Please provide Intern Coordinators email address.*
Where will you be interning this summer or what group will you be a part of? *

Arrival and Departure

Choose an arrival date and departure date. Arrivals may be no earlier than May 26, 2024, and departures may be no later than August 04, 2024.

*Please note there is a minimum stay of 7 days

Requested arrival date*

Requested departure date*

Residence Hall *
If you have a preferred roommate please list their information.
Do you have any physical needs that should be considered when assigning your room?
If yes, please contact the intern housing office directly.

Emergency Contact

Contact's Name *
Relationship *
Contact's Number *

Additional Services

Internet Free! You will be contacted to complete an additional form. You will need to provide your own computer and internet (ethernet) cable.
Extended Stay Amenities Available *

Our extended stay amenities package will provide all your kitchen essentials. Save time moving and packing by reserving amenities to use during your stay. In the apartment-style rooms, the $50 extended stay amenities package fee covers:

  • Eating supplies (plates, bowls, cups, eating utensils)
  • Cooking supplies (pots, pans cooking utensils)
  • Coffee maker

Additional Notes
How did you hear about us?

A $250 damage and incidental charge will be added to the final bill.

This will be returned to the intern after checkout and room inspection has been completed.