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Temporary Housing Application

Your request will be processed upon submission. Please allow 7 to 14 days for a response concerning your request for an assignment. If you require a quicker response, please call (502) 854-0417 and leave a message.  Bridgett will contact you as soon as possible.  E-mail will be the primary form of contact by which you are notified of your assignment and check-in procedures.

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Please enter your first name.
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Please enter your last name.
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Please enter your complete home mailing address. If you live in the United States, be sure to enter your city, state and zip. If you are international, be sure to include city, state if applicable and nation.
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Please enter a phone number where we can contact you. Be sure to include all international codes.
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Please enter your email address.
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Please enter the first and last name of your emergency contact.
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Please enter the phone number of your emergency contact. Be sure to include all international codes if relevant.
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Please enter the email address of your emergency contact.
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Please enter your relationship with your emergency contact.
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University of Louisville department or workplace outside the university where you will be serving your internship, co-op, rotation, or other.
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There are two options for location of your apartment. The Medical Dental Apartments are located on the Health Sciences Campus of the University of Louisville. If you plan on working at the University Hospital or with any medical related departments, request to stay at the Medical Dental Apartments (MDA). The University Tower Apartments are located on the Belknap Campus. This is the main campus of the University of Louisville and houses most liberal arts studies, sciences, fine arts, and humanities departments. If you will be associated with one of these areas, request to live in the University Tower Apartments (UTA). Please indicate your preference for location by typing MDA or UTA in the space below.


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Please enter your anticipated move-in date.
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Please enter your anticipated move-out date.
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Please enter the number of nights you plan to stay.
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Please factor your total cost. Calculate the total cost in USD (1-30 nights = $30/night; over 30 nights = $25/night)
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Please list any dietary, physical, or living arrangement needs you may have that fall under the American Disabilities Act that can impact the comfort of your stay with the University of Louisville.
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Payment

Please make check payable to the University of Louisvile and send so that it arrives at UofL at least three weeks in advance of your stay. Mail check to: Patrick Chenault Housing and Residence Life Office, University of Louisville, Louisville KY 40292-0001.

Check In

At least one week ahead of your arrival, please e-mail Lexi Payne, Resident Community Coordinator, at alexis.payne@louisville.edu for check-in arrangements, keys, etc. Please do no make contact at the last minute. Check-in is set for 7:00 pm-9:00 pm, 7 days a week. In the event of an emergency, please call (502) 819-7060 and leave a message. Missing a scheduled check-in appointment can result in a delay of up to one day of your checking in.
Local hotel contact for both Belknap and Health Sciences Campus: Days Inn Louisville Central, 1600 Arthur Street, (502) 636 - 3781.

Additional Information

Your apartment is furnished with two twin size beds, a chair or couch, a dinning table and chairs, a refrigerator, a stove, and comes with a full bathroom. The calculated amount includes electricity, heat, air conditioning, cable, and internet access. Internet access is only available if the department you are staying with sponsors a guest account. You will need to bring extra-long twin sheets, bed coverings, pillow, and towels, along with your personal effects.

Please mail a hard copy of this completed, signed form, and your check in the amount calculated above.

Please sign acknowledgment of and receipt of UofL Housing Policies and Procedures and your willingness to abide by these during your stay at the University of Louisville.

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