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Summer 2013 Summer Session Housing Reservation Form

Deadline:

Session I Deadline: Deadline to register without a late fee is 5:00 p.m., April 12, 2013.

Session II Deadline: Deadline to register without a late fee is 5:00 p.m., May 9, 2013.

Session III Deadline: Deadline to register without a late fee is 5:00 p.m., June 7, 2013.

Final deadline for reservations is June 30, 2013.


Personal Information:

First Name: Last Name:
Telephone: University ID #:
Note: University ID # is the number printed on your U.Va. ID card.
E-mail:
Address:
City: State: ZIP:
Gender: Male Female

Will handicapped-accessible accommodations be required? Yes No
If yes, please explain in box below:

Are you a U.Va. student? Yes No
Please select one:

Reservation Details:

  • The earliest possible arrival date is May 12, 2013. The latest possible departure date is August 3, 2013.
  • Charges are based on the number of nights, charged at $24.00 per night.
Session I:
May 12 - June 8 = 27 nights		 Session II:
June 9 - July 6 = 27 nights		 Session III:
July 7 - August 3 = 27 nights

Arrival Date:
                   (MM/DD/2013) 		Departure Date:
                        (MM/DD/2013)

Roommate Request:
All roommate requests must be mutual and designated as such on both reservation forms in order to be honored.


Proof of Academic Pursuits:
Summer Session students should list course number and session for each enrolled course. All other applicants should specify the sponsoring faculty member and his/her department and email address.