Reservation Form – Housing Only – Center for Limnology

Your Name(Required)

First Last

Reason for stay?(Required)

Your Email(Required)

Your Phone #(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone #(Required)

Are you seeking summer housing related to summer CFL employment?(Required)

Yes

Name of researcher you are working with and/or name of summer work project.(Required)

Position/Level of education(Required)

Faculty

Staff

Postdoc

Grad Student

Undergrad

Other

Affiliation(Required)

UW Madison CFL

UW Madison Other

DNR

USGS

NEON

Other

Department if Affiliation is 'UW Madison Other' selected above(Required)

Arrival Date:(Required)

MM slash DD slash YYYY

Estimated Arrival Time:(Required)

Morning

Afternoon

Evening

Departure Date(Required)

MM slash DD slash YYYY

Estimated Departure Time:(Required)

Morning

Afternoon

Evening

Housing

Who will need housing?(Required)

Check all that apply. For example, if you AND Other Researchers, check both 'You' and 'Other Researchers' boxes. If you are requesting housing for other researchers only, just check that one box.

Self

Family Member(s)

Other Researcher(s)

Housing - Self

Your gender(Required)

This information will be used for the purpose of housing assignments.

Man

Woman

Transgender

Non-binary

You are comfortable having a roommate who is (check all the apply):(Required)

This information will be used for the purpose of housing assignments

Man

Woman

Transgender

Non-binary

Do YOU have any animal allergies we need to be aware of?(Required)

Yes

Specifically, what animal allergies of YOURS are a concern for housing?(Required)

Housing - Family Member(s)

Counting yourself, how many family members will need housing(Required)

Do any FAMILY MEMBERS have any animal allergies we need to be aware of?(Required)

Yes

Specifically, what FAMILY MEMBER animal allergies are a concern for housing?(Required)

Will family members arrive on a different date than you?(Required)

Yes

What date/time will family members arrive?(Required)

Housing - Other Researcher(s)

NOT counting yourself, how many will need housing?(Required)

Are other researchers part of your pod or will you need separate housing units?(Required)

Part of same pod

Will need separate housing units

Please explain who is able to room together(Required)

Other researcher information(Required)

I do not know the name and email for people needing housing

I know name and email for all or some people needing housing

Send contact information to Amber Mrnak (amrnak@wisc.edu) when you have name/email information for other researchers.

How many people do you have name/email needing housing?(Required)

An email will automatically be generated to the person/people listed below requesting that they complete form for housing. Email Amber Mrnak (amrnak@wisc.edu) info for other researchers when available.

Person 1 needing housing

Person 1 Name(Required)

First Last

Person 1 Email(Required)

Person 2 needing housing

Person 2 Name(Required)

First Last

Person 2 Email(Required)

Person 3 needing housing

Person 3 Name(Required)

First Last

Person 3 Email(Required)

Person 4 needing housing

Person 4 Name(Required)

First Last

Person 4 email(Required)

Is there anything else not addressed above that you want us to know? Please let us know if you had any problems with this Reservation Form.

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.