Online Form

This online form is for persons who will be interning at local companies near Mahwah, NJ to request on-campus housing at Ramapo College of NJ during the Summer in our "Corporate Intern Housing Program."

Housing Terms (see Instructions & Policies)

You must read and agree to all of the terms indicated on this Website to submit this Housing Agreement/Application. By checking the box: "I agree to all terms," you are indicating that you have read and agree to all terms listed on the Ramapo College Corporate Intern Housing Program Website, including "Housing Agreement Instructions/Policies" and you understand that you will be held accountable to all terms, conditions, instructions, and policies communicated therein.

Check this box to agree *

I agree to all terms

Today's Date

Corporate Intern / Resident Info.

Name *

First

Last Name *

Last

Personal Address *

Mailing address

Address Line 2

Address line 2

City *

City

State *

State

Zip

Email Address *

Phone *

Primary phone / mobile preferred

Alternate Phone

Alternate phone

Housing Details

If requested, would you like to have us share any contact info with your suitemates? *

Share the contact information that I indicate below

Do NOT share any of my contact information with suitemates

Select the information that you want us to share with your suitemates, upon their request: *

Share my primary phone number

Share my alternate phone number

Share my email address

Gender (for housing assignment) *

Male

Female

Not listed (please state)Not listed (please state)

Birthdate (for Internet login) *

Provide name(s) of same-sex corporate intern(s) you want for suitemate(s):

This is optional. We will place intern suitemates into housing assignments as we receive applications. Note that some interns may have already been assigned housing.

Check-In / Date of Arrival

You must provide a check-in date of at least 5 business days after the date that you submit this application for your application to be processed and approved. Refer to the Timeline on this Website to see the first available check-in date and time for corporate interns this Summer. Your check-in date will start your billing plan, based on the advertised nightly rental rate. See the Cost Information posted to this site for details.

Your Check-In Date of Arrival (refer to our timeline) *

See Timeline

Estimated Check-In Time (refer to our office hours)

See Timeline

Check-Out / Date of Departure

Refer to the Timeline on this Website to see the the last possible check-out date and time for corporate interns this Summer. An invalid date entry may not be processed. Your check-out date will end your billing plan, based on the advertised nightly rental rate. See the Cost Information posted to this site for details.

Your Check-Out Date of Departure *

See Timeline

Company & Corporate Contact Details

Select your Internship Company *

UPS Does Not Participate with Our Program *

Internship Company *

Corporate Contact Name *

First

Co. Contact Last Name *

Last

Co. Contact Email *

Co. Contact's Phone *

Phone

Company Address *

Company address

Address Line 2

Address line 2

Company City *

City

Company State *

Company Zip *

Zip

Parking Permit

Will you be parking a vehicle on campus? *

Yes

Parking Permit Vehicle Information

Vehicle Info *

License Plate

Licensing State *

Color *

Color

Year *

Year

Make *

Make

Model *

Model

Will you need to purchase a second parking permit?

Yes

2nd Vehicle Info *

Car 2 License Plate

2nd Vehicle State *

Car 2 Licensing State

2nd Vehicle Color *

Car 2 Color

2nd Vehicle Year *

Car 2 Year

2nd Vehicle Make *

Car 2 Make

2nd Vehicle Model *

Car 2 Model

Emergency Contact Information

Emergency Contact Name *

First

Emergency Contact Last Name *

Last

Home Address *

Mailing address

Address Line 2

Address line 2

City *

City

State *

State

Zip

Emergency Contact Phone(s) *

Primary phone / mobile preferred

Alternate Phone

Alternate phone

Gym Membership

Are you interested in purchasing a Summer Bradley Center Membership?

Yes

Check for Accuracy

Are you sure all information you provided is accurate? *

Yes

Security Check

If you are human, leave this field blank.