Student Volunteer Accomodation Form

Student Name: ______________________________

University: _________________________________

You are responsible for arranging and paying for your own accommodations. A block of rooms has been reserved at the DAYS INN University Center (address, telephone, fax, email) at a rate of $69.00 USD per night for a double occupancy room plus taxes. The hotel is 2 blocks from the conference hotel (a three minute walk). This is an excellent rate for a downtown hotel and we recommend that students stay here. You can make reservations by contacting the DAYS INN at:

All student volunteer applicants must circle one of the three options below:

  1. I do not plan to stay at the DAYS INN University Center as recommended. I plan to arrange my own accommodation. I realize that I need to provide my own transportation to the conference hotel in order to fulfill my work commitments.

  2. I plan to stay at the DAYS INN University Center as recommended and not share my room.

  3. I plan to stay at the DAYS INN University Center as recommended and I would like to share a room with another student volunteer.

  4. If you circled option 3, please answer the following two questions:

Signature: ______________________________________      Date: ___________________

Please sign and date this form and fax it to Dr. Raffo at 001-503-725-5850.