TEMPORARY HOUSING APARTMENTS by eex14835

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									                      TEMPORARY HOUSING APARTMENTS
                        FOR VISITING RESEARCHERS/SCHOLARS/ARTISTS

                              APPLICATION FOR SPACE ASSIGNMENT
  Caywood


                  (To be completed by the sponsoring academic unit)         Date________________

                  Sponsoring Academic Unit__________________________________________
                  Contact Person in Academic Unit_______________________ Phone_______

   Oakdale
                  Name (Including Title)
                  of Prospective Tenant_______________________________________________
                  Address__________________________________________________________
                  _________________________________________________________________
                  __________________________________________________________________
                  Email_____________________________________________________________
    Woolf         Rental Period: From____________________ to____________________
                  Number of Adults ___      children_____      children’s age(s)_____

                  Please write the numbers 1, 2, 3, 4 and 5 in the appropriate blocks to the left to
                  indicate first, second, third, fourth, and fifth housing choices.


 Bloomington                 Minimum stay is one month; maximum stay is one year

                  Please describe the academic opportunity made possible for your unit if
                  an apartment is assigned as requested:



  3 Oak Park




Sponsor's Name (Signed)_______________________________________________________
Sponsor's Name & Title (Printed or typed)________________________________________

PLEASE RETURN COMPLETED FORM TO:               Jordan Cohen
                                               Interim Vice President for Research
                                               201 Gilmore Hall
PLEASE FAX COPY OF COMPLETED FORM TO:          Cathy Fountain, Business Manager’s Office
                                               319-384-1830 (fax)
                                               cathrine-fountain@uiowa.edu

								
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