Office of Faculty Housing
Housing Request Form
Please be advised that housing resources are extremely limited and are primarily reserved for full-time tenured and tenure line faculty. Housing is
intended only as a primary residence for faculty who do not have housing in the metropolitan area. If eligible for housing, you will be contacted by
the Office of Faculty Housing in the months prior to your arrival date to view available options. Please provide the following information and return
via email to your respective Dean’s office:
Today’s Date:
APPLICANT INFORMATION
Last Name
First Name
M.I.
Street Address
Apartment #
City
State
Mobile Phone
E-mail Address
ZIP
NAMES & RELATIONSHIP OF OTHERS SHARING APARTMENT:
Name of Spouse/Partner
Children:
Name (1):
Age:
Name (3):
Age:
Name
(2):
Gender: ☐ M ☐F
Gender: ☐ M ☐F
Age:
Number & Types of Pets:
PLEASE INDICATE PREFERRED FIRST MONTH OF OCCUPANCY.
(PLEASE NOTE, WE WILL DO OUR BEST TO ACCOMMODATE YOUR PREFERENCE, BUT IT IS NOT GUARANTEED)
MM/DD/YYYY:___/___/______
NYU WORK RELATED INFORMATION (AS IT APPEARS IN YOUR OFFER LETTER):
Official NYU Title
NYU Department
Appointment Date
Start Date:
Tenure Status
Choose an item. Tenured
Notes:
To be completed by School Housing Contact Only:
CV Attached:
Sponsor School:
Request Type:
New
Change
Accepted Offer
Acceptance Pending
Details:
Supporting Dean:
Gender: ☐ M ☐ F