UIC Campus Housing - Intern Application

Summer 2020 Intern Housing Application

*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 *
Phone Number *
Gender *
Date of Birth *
What College/University are you affiliated with? *Not UIC
Please provide Intern Coordinators email address.*
Degree / Group: *
Where will you be interning this summer or what group will you be a part of? *
Do you have any physical needs that should be considered when assigning your room?
If yes, please contact the intern housing office directly.

Arrival and Departure

Choose an arrival date and departure date. Arrivals may be no earlier than May 17th, 2020, and departures may be no later than August 9th, 2020.

*Please note there is a minimum stay of 7 days

Requested arrival date*

Requested departure date*

If you have a preferred roommate please list their information.

Emergency Contact

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

Additional Services

Cable TV Free! You must provide your own TV and cable cord.
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

Our extended stay amenities packages have all your household needs. Save time packing and moving by allowing us to provide the essentials. Our extended stay amenities package for the private 2BR and 4BR apartments include the following items:

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

Free! Extended stay amenities packages are availble for the private 2BR and 4BR apartments.
Additional Notes
How did you hear about us?

You must pay a 10% non-refundable deposit to confirm your reservation request.

All payments are due prior to move in. Your reservation is not complete until your balance is paid in full.

Additionally, please print and complete this form and return it to the Intern Housing Office