Application for Residence Halls Summer Housing - Special Groups Michigan Tech -- Housing and Residential Life
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Application for Residence Halls Summer Housing - Special Groups


This form is NOT for Finn Fest. This form is a request form for all conferences EXCEPT Finn Fest.


Please fill in all fields and 'Submit' this form.
Program Contact:  First Name  Last Name
Phone:   E-mail Address:
Address:
City:  State:  Zip Code:
Sponsoring Department:
Program Title:
Program Dates:     at    until   at  
Participants begin to arrive:     at  
Participants will depart:     at  
Number of participants expected:  Male  Female
Room type preferred:   Regular Room     Room with Private Bath
Total number of rooms needed for program:
Number of counselors:  Male    Female
Number of rooms for offices:    Office needs:
Comments:
Will you need a food plan?   Yes    No
First meal:  Date    Meal
Last meal:  Date    Meal
Saturday breakfast(s)?  Yes  No   Please give date(s): 
Sunday breakfast(s)?   Yes  No   Please give date(s): 
Special meal requests:
Account number for billing:
Special needs:
Applicant's Name:  Date:
Approved by: __________________________________________________  Date: _______________
 You will receive a web confirmation notice immediately. 
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Michigan Technological University is an equal opportunity educational institution/equal opportunity employer.