On-Campus Dorm Stay Request Form

On-Campus Dorm Stay Request Form

Mount Mary University Campus Dorms
Dorm rooms on the Mount Mary University campus are available for GLWI course participants. The cost is $65 per night. Sheets and towels are provided. Children may not stay in the dorms. Parking on campus is free.

If you would like to request a roommate in order to share the cost, please indicate that below and we will let you know if a match is available.

Please reach out to scarlett.ferry@greatlakeswaldorf.org with any questions.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Check-in Date*

MonthDayYear
Date
Check-Out Date*

MonthDayYear
Date
Yes, please match me with a roommate if one is availableNo, I prefer a private roomI have already arranged to room with someone (specify name below)
If you have already arranged to room with someone, please list their name. Please note that each person must complete a separate reservation form.
I will pay for the dorm room when I am on campus.I would like to be invoiced separately for the dorm room.I would like the dorm cost added to my Mount Mary University invoice (teacher education program participants only)
Any other details or requests?
Should be Empty: