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Human Resources at SLAC
Human Resources at SLAC SLAC Home

Housing Questionnaire

Date of Arrival

Date of Departure

Personal Information

First Name:

Family Name:

Citizenship:

Coming From (University/Lab or Company):

Contact Information

Email Address:

Telephone Numbers:

Office:
Home:
Cell:
Fax:

SLAC Information

Your new job title at SLAC:

SLAC Manager:

SLAC Department/Group:

Housing Needs

Housing Needed for:

Name of spouse/companion:

Names, ages, and gender of children:

If you are bringing your pet(s), please give us the name(s) of your pet(s) and describe the type, breed, height, weight:

Housing Preferences
      Review ESTIMATED HOUSING COSTS before completing

Maximum Price Per Day  $:

Maximum Price Per Month $:
 

Type of accommodation preferred:

Furnished      Unfurnished

Number of bedrooms: 

Additional Information

Transportation: (Check all that apply)
  Car
  Car, sharing with (provide name):
  Bicycle
  None

Do you smoke? 
   No    Yes

Do you have any allergies?
No    Yes

If yes, please provide us more information:

Provide any comments or special requests in the below:

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