Application for Residence Halls Summer Housing - Special Groups Michigan Tech -- Housing and Residential Life Application for Residence Halls Summer Housing - Special GroupsThis 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: -- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NF NS ON PE PQ SK MX PR 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. [Close Window] [Home] Michigan Technological University is an equal opportunity educational institution/equal opportunity employer.