INTERN HOUSING RESERVATION FORM
Available Dates of Stay:  May 15, 2022 - July 31, 2022
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NAME *
PHONE NUMBER *
000-000-0000 format only
EMAIL ADDRESS *
This email address will be used for reservation confirmation and communications.
MAILING ADDRESS *
Street, City, State, Zip
GENDER *
DATE OF BIRTH *
MM
/
DD
/
YYYY
EMERGENCY CONTACT *
Name and Phone Number
CHECK-IN DATE *
Check-In begins at 12noon.
MM
/
DD
/
YYYY
CHECK-OUT DATE *
Check-out is by 12noon.
MM
/
DD
/
YYYY
ROOM TYPE *
SMOKING PREFERENCE *
College of Charleston Residence Halls are smoke-free.
INTERNSHIP STATUS *
DATES OF INTERNSHIP *
WORK SCHEDULE *
Please indicate your anticipated work schedule below.
COMPANY NAME & CONTACT PERSON *
COMPANY CONTACT PHONE *
COMPANY CONTACT EMAIL *
DESCRIPTION OF INTERNSHIP *
ADDITIONAL COMMENTS
RESERVATION ACKNOWLEDGEMENT *
Required
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