NON PRINCETON STUDENT UNDERGRADUATE HOUSING
SUMMER 2017 APPLICATION
LAST NAME:
FIRST NAME:
GENDER:
HOME ADDRESS:
CELL PHONE #:
EMAIL ADDRESS:
COLLEGE/UNIVERSITY ATTENDING:
ESTIMATED GRADUATION:
REASON FOR SUMMER HOUSING (Check applicable)
Non-Princeton students working full time for the University
(35 hours or more per week)
SUMMER DATES
All Non Princeton students must be verified by the department they are affiliated with for the summer. Please return
the attached “Summer Housing Departmental Confirmation” form by the April 24th, 2017 application deadline to have a
place in the draw. Housing will proxy for Non Princeton students and draw the best available room. If applications are
received after the April 24th deadline, students will be placed on a space available basis.
Please check below if you are requesting housing for the full contract period, June 12 - August 14, 2017, or
indicate dates interested: (must be in full week blocks, Monday through Sunday, minimum of 4 weeks).
No contract may begin after July 17, 2017. Dates requested must match those on the department
confirmation form.

Full contract (9 Weeks, from June 12 to August 14, 2017)

Partial FROM:
Monday,
HOUSING PREFERENCES
(Summer Housing begins June 12, 2017)
TO:
Sunday,
(Summer Housing ends August 14, 2017)
Please rank your room preferences below (1= highest preference)
Building
Room Type
Roommate Preference
__ Pyne Hall
__ Single Room
__ No Roommate
__ Lockhart Hall
__ Double Room
__ Random Roommate
__ Triple Room
__ Requested Roommate
th
__ 4 Floor of Scully Hall
__Quad or More Room
Name:______________________
Will an academic department be paying for part or all of your housing charges?
 YES
 NO
I agree to abide by all rules and regulations put forth in the Summer Housing Information and Procedures and agree to
inform the Housing Office and terminate my occupancy agreement as soon as my stated reason for housing ends. I
understand that if my enrollment is terminated, either by me or the University, I abrogate all rights to remain in University
housing and I must leave the campus within 48 hours.
SIGNED:
DATE:
THIS APPLICATION MUST BE RETURNED BY 4:30 P.M. ON Monday, April 24th, 2017
Students who will be on campus for more than one reason and/or with multiple departmental sponsors must
submit a Departmental Confirmation form for EACH DEPARTMENAL SPONSOR.
NON PRINCETON STUDENT UNDERGRADUATE HOUSING
SUMMER 2016 APPLICATION
STUDENT’S LAST NAME:_________________________________ FIRST NAME: ____________________________________
COLLEGE/UNIVERSITY ATTENDING:
ESTIMATED GRADUATION:
The student listed above is applying for Summer Housing provided by Housing & Real Estate Services. If the
student applying for summer housing will be working on campus, this form must be completed by the employer
who will be supervising the above named student.
SPONSOR INFORMATION
In order to participate in summer room draw, this form must be completed and returned to the Housing Office
by 4:30 pm Monday, April 24th, 2017. There are no exceptions to this deadline.
Any student forms received after this date will be waitlisted.
Name:
Title:
Email:
Campus Phone:
Department:
Will the department be paying for part or all of this student’s housing charges?
 YES
 NO
IF YES, PLEASE ATTACH DEPARTMENTAL PAYMENT CONFIRMATION FORM
I certify that the above student will be employed/advised by me for the summer of 2017. I will contact the
Housing Office should the student’s status change. He/she will be working/advised during the following dates
(these dates must agree with the dates requested on the student’s application):
FROM: Monday,
TO: Sunday,
(Summer Housing begins June 12, 2017)
(Summer Housing ends August 14, 2017)
REASON FOR SUMMER HOUSING (Check applicable)
Non-Princeton students working full time for the University
(35 hours or more per week)
Contracts run from Monday until the following Sunday, and must be a minimum of 4 weeks. If necessary,
arrangements can be made to allow the student access to their room the evening before their contract start
date (except students whose contracts start June 12, 2017). Will this student need Sunday access to their
room?
 YES
 NO
Sponsor Signature:
Date:
(REQUIRED)