Guest Housing Request Form

This form is to be filled out by the sponsoring UofT department or UofT Mississauga student.

Please select a category

Faculty, Staff or University Affiliated Guest(s)

Parent or Family Member Visiting a UofT Mississauga Student

Sponsoring UofT Department OR UofT Mississauga Student Information

First Name

Last Name

Phone Number

Email Address

Department Name (if applicable):

Residence Unit (if applicable):

Student Number (if applicable):

Primary Guest Information

First Name

Last Name

Student or Staff Number (if applicable)

Phone Number

Email Address

Country of Origin

Arrival Date & Time (after 4PM)

Departure Date & Time (before 1PM)

Do you have a vehicle that requires parking?

Yes

If yes, please provide colour, model & License Plate number of the vehicle

Other Guests of the Unit (Maximum of 4)

Guest - First Name

Guest - First Name
	Guest - First Name	Item weight

more items

Guest - Last Name

Guest - Last Name
	Guest - Last Name	Item weight

more items

Are any of the guests under 18 years of age?

Yes

Emergency Contact Information

First Name

Last Name

Phone Number

Relationship to Primary Occupant

Payment Information, Departmental Financial Information System (if applicable)

Please note that we will require a letter from the department Chair authorizing the transfer of funds.

General Ledger (GL) Account

Cost Centre (CC)

Funds Centre (CFC)

Business Area (BA)

Guest Housing Occupancy Agreement

I agree

By checking this box, I agree to the terms and conditions outlined in the Guest Housing Occupancy Agreement.

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