Summer Intern Housing Application

Thank you for your interest in Grand View University's summer intern housing! Simply complete the following form to get started.

Intern/Resident Legal Name

Date of Birth

Cell Phone Number

Email Address

Permanent Address

City / State / Zip

Sex

Room Commitment Start Date - End Date

Emergency Contact Person & Relationship

Emergency Contact Phone Number

Preferred roommate (if applicable)

Which company will you be working with to complete your internship?

I have read and agree to the terms and conditions of the Grand View University Summer Housing Contract.

I have read and agree to the terms and conditions of the Grand View University Wellness Waiver.

Yes

Submit questions and/or comments (optional)