Summer Housing Application

Summer housing is available for Brandeis students who are working on-campus and are not enrolled in the Summer School. Housing will be in the Foster Mods for summer 2009.

Upon submitting the below form, the information will be sent to your Department Administrator and to the Department of Residence Life. Please print a copy of the completed form for your records, or contact the Department of Residence Life to obtain an electronic receipt of the submitted information.

If you have any questions, please feel free to email us at reslife@brandeis.edu or call us at 781-736-5060. Fields marked with * are required. Forms with incomplete information will not be processed.

Student Information

*First Name:  

*Last Name:

*Brandeis Email Address:

*Sage ID #:

*Year of Graduation:

*Mailbox #:

*Phone #:

Spring '09 Housing:
*Quad:

Building:

Room #:

Fall '09 Housing:
*Quad:

Building:

Room #:

*Occupancy Dates (earliest start date is 5/26/09, latest end date is 8/7/08):
Start End:

Students needing transitional housing after commencement or before the fall semester should complete the separate transitional housing request form, available here.

Summer Employee Housing is $126.00/week. No prorating. Complete week runs Monday through Sunday.

Apartment-mate Request: (All parties must request each other)

If there is special information that will help us with matching you with apartment-mates, please state it below:

Sponsoring Department Information

*Department Name:  

*Mailstop:

*Please provide the name and email address of the administrator responsible for billing in your department. If you do not know this person's name, please consult with your supervisor.

Name:

*Email:

Summer License Agreement

  • I, the student named above, hereby request assignment to a Brandeis University residence hall during the summer for the dates listed above.
  • I agree to pay the room rate of $126 per week for the space to which I am assigned. The room rate DOES NOT include custodial services or a meal plan. I will be responsible for the cleanliness of my living space and any meals during my stay.
  • I understand that I will receive a room key only after I have agreed to this license and have my sponsoring department assign a charge-line. The key and room are not transferable to any other person. Keys not returned within 24 hours of my indicated end date will result in a $60.00 replacement key charge that will be billed to my account.
  • I understand that the terms of this agreement begin at 10:00 AM on Tuesday, May 26, 2009. I agree to vacate the hall by noon on Fri., August 9, 2009. I understand that if I have not vacated the hall by the specified time, the appropriate steps will be instituted to remove me and my personal property from the premises. These steps may include charges for removal of property, lock changes(s), or charge for room use.
  • I affirm that I am not enrolled in the Brandeis Summer School or any other Brandeis Summer Program for which alternative housing is offered.
  • I understand that this license is for one occupant only. Guests staying for an extended period of time are not permitted.
  • The assignment of residence space does not involve a tenancy of any kind and may be revoked at the discretion of the University at any time.
  • I agree to fill out an entering RCR (Room Condition Report) and exiting RCR with the Department of Residence Life.
  • I have read and agree to abide by the terms and conditions listed on this license, together with the rules, regulations, and procedures of Brandeis University as published herein and in Rights and Responsibilities. If I am under the age of 18, this license must be signed by my parent or legal guardian as guarantor who will then be liable for fulfilling the obligations of this license.
  • I understand that failure to abide by these terms or Rights and Responsibilities may result in immediate termination of this license.
  • The license applies to the dates specified in this contract. I am responsible and liable for occupancy during and costs associated with this period of time. This license may be terminated or extended under special circumstances by a licensee's written request if received by the Department of Residence Life 10 working days prior to your departure. Failure to meet this deadline will result in full billing for the dates listed for requested occupancy. 
  • The Sponsoring Department must indicate a chart string for billing purposes and collect reimbursement from the student. The Department of Residence Life is not responsible for collection of student payments. The sponsoring department will be billed for the full amount at the end of the summer.

*By checking this box, I agree to the above license agreement.