Intern Housing Program Application

Your Full Name*

First Last

Which option best describes you?*

I am an Intern and I will be paying for my own reservation.
I am an Intern and my housing costs will be paid for by my internship program.
I am requesting and paying for Intern Housing on behalf of an intern.
I am requesting and paying for Intern Housing on behalf of multiple interns.

How did you hear about Intern Housing?*

Requestor's Information

Requestor's Email*

Requestor's Phone*

University of Florida Office / Department*

Where at the University of Florida do you work?

Intern Information

Internship Location and/or University of Florida Department*

Who are you interning with at the University of Florida?

Intern's Full Name*

First Last

Intern's Gender*

Female
Male
Transgender

Guests will be assigned to rooms based upon the guest's gender.

Intern's Date of Birth*

Enter as mm/dd/yyyy

Intern's Email Address*

Intern's Phone Number*

Intern's Check-in Date*

Enter as mm/dd/yyyy. Guests must check in after 3pm on this date.

Intern's Check-out Date*

Enter as mm/dd/yyyy. All guests must check out at 9am on their check-out date.

Intern's Emergency Contact*

Please list the intern's emergency contact's full name, email address, and phone number.

Interns' Information

If you are hosting Interns but not paying for their lodging, please have them complete this form on their own.

Total Number of Interns*

Intern Full Names*

Please list all of your interns' full names, separated by commas.

Intern Emails*

Please list all of your interns' email addresses, in the same order as their names in the previous field, separated by commas. If you do not know the information please type 'TBD'.

Intern Arrival Dates*

Please list all of your interns arrival dates in mm/dd/yyyy format, in the same order as their names in the previous field, separated by commas. If you do not know the information please type 'TBD'.

Intern Departure Dates*

Please list all of your interns arrival dates in mm/dd/yyyy format, in the same order as their names in the previous field, separated by commas. If you do not know the information please type 'TBD'.

Intern Emergency Contacts*

Please list all of your interns emergency contacts' full names, emails and phone numbers, in the same order as their names in the previous field, separated by commas. If you do not know the information please type 'TBD'.

Trip Details/Other Information*

Have any odd requests? Have any questions about our services? Do you require special accommodations? Tell us more about your trip - help us help you!

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