HOUSING QUESTIONNAIRE

*If you have arranged your own housing, please complete the top portion and indicate your arrangement in the "Additional Comments" section below.

Please review the KITP Housing Information before completing this form.


If you are coming for less than three weeks, do NOT fill out this form.  Our Housing Coordinator, Monica Curry, generally does not provide KITP housing for visits of fewer than three weeks. We have provided information on our website to help you find a room in a local hotel.

If you are a speaker coming for a short visit and require assistance placing a reservation, please contact Deborah Storm.

I will be attending the following KITP program:
Last Name:
First Name:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Office Phone:
Fax:
Home Phone:
E-Mail:
Additional Mailing Address


SD 12/04/07