Short Term  Law/Graduate Summer Housing Request Form

Please complete all fields. Enter N/A if not applicable.

Full Name
Hamline ID
Gender	Male Female Transgender
Primary Phone
Alternate Phone
Mailing Address
Email
Program/Class Attending
Special Housing Needs
Emergency Contact Name
Emergency Contact Phone
Date of Arrival	[None]
Time of Arrival
Date of Departure	[None]
Time of Departure
Number of Overnights (minimum is 3)
Housing Option	Residence Hall Single Room $25/night/person Residence Hall Double Room $20/night/person Linen Packet $10.00 (2 sheets, pillowcase, towel, washcloth)
Roommate Request

Agreement

By submitting this form, I agree to abide by all Hamline University student conduct policies. I understand that my student account will be billed for the number of nights I have indicated on this form.