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.

For those students who are interning at Nationwide Insurance please select the application button below to apply for summer intern housing:

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

Are you willing to live with Grand View student(s)?

Preferred roommate characteristics (include name if requesting a specific person)

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)