UIC Campus Housing - Intern Application

Summer 2026 Intern Housing Application

*All fields are required

Applicant Info
Email *

Please make sure that you have access to this email.
First Name *
Middle Name
Last Name *
Address *
City *
State *
Zip Code *
Country
Phone Number *
Gender *
Date of Birth *
What College/University are you affiliated with? *Not UIC
Intern Coordinator First Name *
Intern Coordinator Last Name *
Please provide Intern Coordinators email address.*
Where will you be interning this summer or what group will you be a part of? *
Are you currently enrolled in, or have you previously applied to, a University of Illinois school? *

Arrival and Departure

Choose an arrival date and departure date. Arrivals may be no earlier than , and departures may be no later than .

*Please note there is a minimum stay of days
Requested arrival date*

Requested departure date*

Residence Hall *
If you have a preferred roommate please list their information.
Do you have any physical needs that should be considered when assigning your room?
If yes, please contact the intern housing office directly.

Emergency Contact
Contact's Name *
Relationship *
Contact's Number *

Additional Services
Internet Free! You will be contacted to complete an additional form. You will need to provide your own computer and internet (ethernet) cable.
Additional Notes
How did you hear about us?

A $250 damage and incidental charge will be added to the final bill.

This will be returned to the intern after checkout and room inspection has been completed.