UNDERGRADUATE HOUSING
SUMMER 2017 APPLICATION
LAST NAME:
FIRST NAME:
PRINCETON ID #:
NET ID
CLASS:
GENDER:
RETURNING FROM LEAVE OR VOLUNTARY WITHDRAWAL
CURRENT DORM AND ROOM:
HOME ADDRESS:
HOME PHONE #:
CELL PHONE #:
REASON FOR SUMMER HOUSING (Check all applicable)
Princeton University Undergraduate students qualified
for family housing.
Students conducting senior thesis research, completing
junior papers, other independent work, or participating
in approved for credit academic coursework or
internship.
Students working full time for the University (minimum
35 hours per week*).
Students participating in a University-sponsored and supervised on
or off-campus program.
Students who are engaged in an approved and sponsored
University activity that requires summer residency.
SUMMER DATES
INTERIM HOUSING
For everyone, except married Princeton University students, your status must be verified by the department you are
affiliated with for the summer. It is the applicant’s responsibility to return the attached “Summer Housing Departmental
Confirmation” form by the April 24th, 2017 application deadline.
Do you require Interim Housing between check-out on May 27, 2017 and summer move in on June 12,
2017? Interim dormitories will only be designated for summer contract holders with a move in date of
June 12th. All students receiving interim housing will be required to move into the interim dormitory
buildings. (Reunions housing ends on June 4, 2017. If you have Reunions housing and a Summer Contract
starting on June 12, 2017, please check YES)
 YES, I require interim housing
from May 27 through June 12

NO, I do not require interim housing
from May 27 through June 12
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,
(Summer Housing begins June 12, 2017)
Will an academic department be paying for part or all of your housing charges?
TO:
Sunday,
(Summer Housing ends August 14, 2017)
 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, TO BE INCLUDED IN THE SUMMER
HOUSING DRAW.
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.
UNDERGRADUATE SUMMER HOUSING
DEPARTMENTAL SPONSOR CONFIRMATION
STUDENT’S LAST NAME:______________________________FIRST NAME: ___________________________CLASS: _________
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. If the student will be on campus for academic purposes (JP,
Senior thesis, independent research) the above named student’s academic advisor must complete this form.
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, 2016. 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, YOUR DEPARTMENT MUST SUBMIT A DEPARTMENTAL PAYMENT FORM TO THE HOUSING OFFICE
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 all applicable)
Princeton University Undergraduate students qualified
for family housing.
Students conducting senior thesis research, completing
junior papers, other independent work, or participating
in approved for credit academic coursework or
internship.
Students working full time for the University (minimum
35 hours per week*).
Students participating in a University-sponsored and supervised on
or off-campus program.
Students who are engaged in an approved and sponsored
University activity that requires summer residency.
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)