Residence Life

University of Wisconsin-Superior

Yellowjacket Union 140
Belknap and Catlin
P.O. Box 2000
Superior, WI 54880

ph. 715-394-8438

fax. 715-394-8454

hours:
7:45am-4:30pm

Search the Residence Life Website:

Full Summer Housing Contract Form

First Name:
Last Name:
Email Address:
Preferred Phone Number:
Address:
City:
State:
Zip Code:
UWS Student ID:
Age (as of May 20, 2013):
Gender:
Academic Status:
Academic Status (Other):

Type of Housing Requested:
Full Summer Contract:
	Students must also have Spring and/or Fall 2013 housing contract
If you selected DOUBLE ROOM, enter your roommate's name:
Requested Floor:
Living in Crownhart During Acadmic Year:
	If you will be living in Crownhart Hall during the 2013-14 Academic Year, enter the room number you've selected.

Other Information:
Emergency Contact Name:
Emergency Contact Phone Number:
Please list any disabilities or concerns we should be aware of when making your housing assignment:

I agree to the terms:
	By entering your initials, you are agreeing that you have read, understood, and agree to the University and Residence Life Policies stated above and online and any related charges to damages. . I also understand that as a summer resident, I will be notified about my summer assignment to fall assignment move dates in August 2013, and will act accordingly to those dates. I understand that if I do not have a Fall 2013 contract, I will need to move out of the halls during early August 2013 (date TBD).

University of Wisconsin-Superior: College degrees, bachelors, masters