Undergraduate Housing Application

Instructions: Please complete all information on this form to apply for housing.

You will be notified when a unit is available for you.

Student Apartment Rate
(Please check rotation)

4 week rotation: $300.00/ person
6 week rotation: $450.00 / person

Key Deposit: $10 (refundable pending return of key).
Security Deposit: Equal to the 4 or 6 week rotation student rate indicated above (refundable less damage assessment, after vacating the apartment building).

Note: Housing confirmations will be sent to the email provided below. If you have any questions or a cancellation, please contact the Apartment Coordinator at (313) 916-3299 or email [email protected].

* Asterisk indicates required field.

Gender

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Enter where we can contact you regarding housing confirmation below:
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(mm/dd/yyyy)
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I would like to share a dormitory room with the following students:
 

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Please call 911 if you have an emergency or urgent medical question.

Already a Henry Ford patient?
For the best experience, existing Henry Ford patients can request and self-schedule appointments through Henry Ford MyChart.

Henry Ford Health is committed to ensuring our Deaf or hard-of-hearing patients and visitors have equal access to all services. We provide the appropriate auxiliary aids and services, including qualified sign language interpreters, TTYs and other assistive listening devices, at no cost. To request assistance, call 313-916-1896 or email [email protected].

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