Individual Summer Housing

For initial inquiries about individual summer housing at the UW Seattle campus, please submit the following informaton.

First Name:
Last Name:
Phone:	( ) - Second three digits Last four digits
Email:
Will you be 18 years or older at check-in?:	Yes No
If you are not 18, will you be accompanied by a parent or guardian?:	Yes No
I am:
If attending a conference or camp, please indicate the name:
If you selected other, please describe the nature of your visit:
Number of overnight guests:	(If traveling alone, please list 1 guest)
Check-in date:	Today
Check-out date:	Today
Do you require disability accomodations?:	Yes No
Do overnight guests require parking?:	Yes No
How did you hear about us?:
Please specify:
Additional comments or information: