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: *

Year

Month

Day

Date of Departure: *

Year

Month

Day

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

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

Car Sharing

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.

Provide any comments if you have any special needs or requests:

Captured 11 times between October 8, 2015 and September 11, 2018

Housing Questionnaire