Housing Request

Submitting this form does not guarantee housing. You will receive an e-mail regarding the status of your request. Onsite housing is available for rent only to Users and employees with term appointments. It is not available for permanent employees or members of the general public.
*REQUIRED FIELD

* Arrival Date (M/D/YY)

*Departure Date By 1 p.m. (M/D/YY)

*First Name:

*Family/Last Name:

*Country of birth?**

*Country of citizenship?**


**Disclaimer: This information is used to comply with the required DOE orders.

*Fermilab ID#

(If unknown, indicate 0000.)

*Institution:

*Reason at Fermilab (choose one):
Experiment (Number or Name):
Theorist:
Other:
*Occupation/Education Status:

Undergraduate
Graduate Student
Postdoc
Professor/Scientist
Other

*First time at Fermilab?

Yes
No

*First time staying in the US?

Yes
No

*Valid driver’s license for driving in the US?

Yes
No

*Access to a car while at Fermilab?

Yes
No

*English language communication skills: (choose one)

Comfortable speaking and/or understanding the English language
Uncomfortable or hesitant speaking and/or understanding the English language

Requires:

 Dorm Room Single
 Dorm Room Double
 House/Apt – 1 Bedroom
 House/Apt – 2 Bedroom
 House/Apt – 3 Bedroom
 House/Apt – 4 Bedroom

Other Requests:

Note:

Minimum length of stay is one month for houses & apartments.
No smoking allowed in dormitories or apartments.

If a choice is available, do you prefer:

 Women Only Block of Rooms in Aspen East
 Room with a private bath (very few dorm rooms have private baths)

Method of Payment

 Guest Paying Cash/Check/Charge (Visa/MasterCard/Discover) to the Housing Office
 Travel Code Search travel codes

If you will be coming with family members please complete the information below. Note: Children are not allowed in the dormitories.

Spouse/Companion

Children’s Name & Ages

Requestor:

Name:

*Email:

Phone: