Summer Intern Housing Request

The 2020 summer conference and intern housing season has been canceled due to the current COVID-19 pandemic. SUMMER INTERN HOUSING WILL NO LONGER BE OFFERED DURING THE 2020 SUMMER SEASON. We apologize for any inconvenience this may cause. Our priority remains the health and safety of our residents and guests. Our team looks forward to welcoming interns to NC State’s campus again in 2021.

Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Gender*
- Male
- Female
- Transgender/Non-Binary
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Primary E-Mail Address*

This address will be used for all written correspondence, including confirmations and payment instructions
Intern Housing availability runs from May 16 - August 1, 2020. Extensions are not permitted. Intern stays must be no less than 30 consecutive nights.
Arrival Date*
MM slash DD slash YYYY
Departure Date*
MM slash DD slash YYYY
Emergency Contact Information*
First Last
Emergency Contact Address Information
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact Phone Number*
Emergency Contact E-Mail Address
Emergency Contact Relationship
Internship Company Name*
Internship Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor Name*
First Last
Supervisor Title*
Supervisor Phone*
Supervisor E-Mail Address*
University Name*

Please provide the name of the University you attend.
University Address*
City State / Province / Region
University E-Mail*

Please provide your university affiliated e-mail address.
Payment Type:*
Comments/Suitemate/ADA Requests
Name & EMail Release*
- Yes
- No
I grant permission for NC State University to release my name and primary e-mail address to my prospective roommates/suitemates for the purposes of making contact prior to our arrival to NC State
Agree To Terms*
- Yes
Do you agree to the following terms: Terms and Conditions