Housing Application for Corporate Partnerships

Housing Application for

Corporate Partnerships

Martin Luther Hall

$30.00 per night with a 30-day minimum stay.
Full Name*

First NameLast Name
Birthday*

MonthDayYear
Date
Email*
Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender Identity*
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship*
Emergency Contact Phone*
Please enter a valid phone number.
Location of Employment*
Other Employment:
Additional Amenities, select your choice(s) from the options listed:

Microwave and Refrigerator/Freezer(3.2 Cubic Feet) - $75/monthTwin XL Sheet Set - $25/month
Move-in Date Requested*

MonthDayYear
Date
Move-out Date Requested*

MonthDayYear
Date
In applying for housing at Muhlenberg College, it is my understanding that I am leasing a space in a Muhlenberg College residence hall. I, the tenant, will read, understand, and comply with the Muhlenberg College Martin Luther Short Term Lease Agreement.
Signature*

Clear
Date*

MonthDayYear
Next Steps:

You will receive a confirmation email with your acceptance. Move-in instructions and information regarding payment agreements, if applicable, will be provided two weeks prior to move-in.

For additional information, please contact Jane Schubert, Executive Director for College Life Operations at 484-664-3338 or email janeschubert@muhlenberg.edu
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Housing Application for