Sublet Request Form

A. Primary Tenant Information

Name:	*
Department:	*
Address:	*
Phone:
Email:	*

B. Sublet Term

Start Date:	*
End Date:	*

C. Unit Information

# Bedrooms:
# Bathrooms:
Monthly Rent:

D. Prospective Tenant Preferences

Special information or restrictions about the apartment
(e.g., restriction on access to a closet or room, care to plants, pets, etc.)

**NOTE: THE INCENTIVES OFFERED BY THIS PROGRAM ARE ONLY FOR FACULTY MEMBERS ON APPROVED LEAVE OR SABBATICAL. SUMMER/WINTER HOLIDAY SUBLETS ARE NOT ELIGIBLE. BY COMPLETING THIS FORM YOU ARE GIVING YOUR CONSENT TO SHARE
ALL RENTAL INFORMATION INTERNALLY TO NYU DEPARTMENTS AND SCHOOLS.

Questions/Comments: 212.998.2209; facultyhousing.office@nyu.edu