Housing Application: New CAP/Pre-CAP Student

Please complete the application form below in order to make your housing reservation.

Students enrolled in the Conditional Admissions Program (CAP/Pre-CAP students) are required to live on campus or with a homestay family.

By completing this housing application, the student agrees to the ELI Housing Terms and Conditions and agrees to pay all costs associated with the housing type that is assigned to him/her.

Click here to view housing types and fees.

*(denotes required field)

First Name: *

Middle Name:

Last Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

Student ID#:

Date of birth: *

Agent Information

Enter your agent's information, if applicable.

Agency name:

Name of counselor:

Agent email:

Session Information

Please select the session for which you need housing.

Session#: *

Housing Choices

What is your first choice for housing?
We will try to reserve your first housing choice for you; however, since we have limited housing, you must choose 2 different housing types on this form.

First choice: *

Second choice: *

Arrival Information

Please give us information about your arrival in Delaware.

Arrival Airport:

If you answered "OTHER" to the question above, write the name of the airport where you plan to arrive.

Other airport:

Note: We can ONLY make shuttle arrangements for students who will arrive in Philadelphia International Airport.

Please enter your flight information.

Airline:

Flight number:

Arrival date:

Arrival time:

Please write the last connecting city where you will go before you arrive at the Philadelphia International Airport.

Last connecting city:

Airport Transportation

Price: Approximately US $49.

Pickup request:

Note: If you want the ELI to make airport transportation arrangements for you, then you must agree to the following terms:

Important: You must provide the ELI with your credit card details using the Credit Card Authorization form (PDF). You must download and complete the form and send it to us by fax at +1-302-831-4201. We cannot make shuttle reservations without the credit card form.
You must provide the ELI with any changes in your flight information.
You must contact Delaware Express at +1-302-454-7800 if your flight information changes.
You understand that your credit card will be charged if you do not notify Delaware Express of any reservation changes or cancellations.

Temporary Housing (Hotel)

Price: Approximately US $50 per night.

Please choose your preference.

Smoking preference:

Hotel request:

Note: If you want the ELI to make a temporary housing reservation for you, then you must agree to the following terms:

You must provide the ELI with your credit card details using the Credit Card Authorization Form (PDF). You must download and complete the form and send it to the ELI by fax at +1-302-831-4201. We cannot reserve a hotel for you without this form.
You must provide the ELI with any changes in your arrival information.
You understand that your credit card will be charged if you do not notify the ELI of any reservation changes or cancellations.

Signature

Signature (write your name): *