Summer Housing Application

Summer housing is available for students who are enrolled in Summer School. 

If you have any questions, please feel free to email us at dcl@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:

*University Email Address:

*Sage ID #:

*Year of Graduation:

*Contact Phone #:

Spring '13 Housing:
Quad:

Building:

Room #:

Fall '13 Housing:
Quad:

Building:

Room #:

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

Sessions:
Session 1
Session 2
Session 1 and Session 2

All Summer School residents are required to select a meal plan. The only summer meal plan options available are the 21 meals per week and the 14 meals per week plans.

Meal Plan Preference: 21 Meals Per Week   14 Meals Per Week

Suitemate Request: (All requests must be mutual to be considered)

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

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 set rate for the space to which I am assigned. The room rate DOES NOT include a meal plan.
  • I will be responsible for selecting a summer meal plan.
  • I understand that I will receive a room key only after I have agreed to this license and am enrolled in Summer School.  The key and room are not transferable to any other person. Keys not returned within 24 hours of my last day in housing 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 the following dates: Sunday, June 2, 2013 for session 1 and Sunday, July 7, 2013 for session 2. I agree to vacate the hall by noon on Saturday, July, 6 2013 for session 1 and noon on Saturday, August 10, 2013 for session 2. 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 a Brandeis JBS program 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 Community Living.
  • 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 Community Living 10 working days prior to your departure. Failure to meet this deadline will result in full billing for the dates listed for requested occupancy. 

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