Dorm Reservation - Space Institute

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A limited amount of on-campus housing is available for UTSI summer research interns. Rooms in the dormitory, adjacent to beautiful Woods Reservoir, can be reserved on a first-come, first-serve basis. Sharing of a room with a room-mate may be required. The cost of the dorm room is included in the stipend for the internship. For more information, fill out the form below.

First Name*

Last Name*

Email Address*

Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Degree

Semester / Year*

Desired Degree Program*

Gender*

Male

Female

Do you require any special accommodations due to physical disabilities?*

Yes

If you answered “Yes”, have you registered with the Office Of Disability Services In Knoxville?:*

Yes

Room Preference*

Single Occupancy at $500.00 per month

Double Occupancy at $250.00 per month

A security deposit of $500.00 is required when making a reservation. The security deposit payment can be made by check, money order or credit card (VISA, MasterCard, Discover). For Credit Card payment please contact us at admit@utsi.edu.

For Check or Money Order, please remit to:

Admissions Office, MS06

The University of Tennessee Space Institute

411 B. H. Goethert Parkway

Tullahoma TN, 37388‐9700