Residential Camp & Conference Services

Reservation Request

Student Information

Student Name *

Student Gender *

Email *

Phone *

Student Status *


Permanent Address

Street *

City *

State *

Zipcode *

Arrival Date & Time *

Departure Date & Time *

Will you need parking? *

Would you like an Activity Center membership? *

Meal Plan Options (choose one) *




Meal Passes — Are you interested individual meal passes ($9.73 per pass)? *

If yes, please enter the number of meal passes:

Internship Contact Information

Company Name *

Email *

Phone *

Submission of this form is not a guarantee of housing at UT Dallas. Residential Camps & Conference Services will contact you with additional information.