Housing Questionnaire

When completing your questionnaire, please fill in as many components as you can (required fields are denoted with a *). This will help us know what direction to take in our search. When requesting long term housing, advance notice is always welcome, but in order to do a true search the renter must be here and ready to pay deposit and first month's rent.

Arrival & Departure

Date of Arrival: *

Month

Day

Year

Date of Departure: *

Month

Day

Year

Personal Information

Title: *

First Name: *

Last Name: *

Citizenship: *

Coming From: *

(University, Lab or Company)

Contact Information

Email Address: *

Telephone Number: *

SLAC Information

SLAC Affiliation: *

NOTE: Visitor/Invited Guest must attach the Invitation Letter

Invitation Letter:

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

SLAC Manager/Host: *

SLAC Department/Directorate:

Housing Needs

Housing Needed For: *

If self and others, please provide additional information below.

Name of spouse/companion:

Names and ages of children:

Are you bringing any pets? *

Housing Preferences

(review Estimated Housing Costs before completing)

Maximum RENTAL COST per day (USD): *

Maximum RENTAL COST per month (USD): *

NOTE: Utilities are typically not included in rental costs.

Type of accommodation preferred: *

Furnished? *

Number of bedrooms? *

Additional Information

Transportation: (Check all that apply)

Bicycle

Car

Notes:

1. Smoking is not allowed in most accommodations.

2. Not all owners are able to accommodate medical conditions. Please let us know should you have special needs.

Special needs or requests:

(If you're a human, don't change the following field)

Enter your name

Your first name.

(If you're a human, don't change the following field)

Enter your name

Your first name.

Leave this field blank