| *Name: |
| *Address: |
*City: *State:
*Zip Code: |
| *Home Phone: *Cell Phone: |
| Email Address: |
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Housing Preferences:
Please rank each hall in order of preference.
*(based on availability/extra $400 per semester)
First Choice
Second Choice
Third Choice |
Single Room (only if space permits - extra $500 per semester)
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| If you have a request for a specific roommate, please fill out the information below. |
| Preferred Roommate: |
| Phone Information for Roommate: |
| Email Information for Roommate: |
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Compatibility Information:
1. Smoking (smoking is prohibited in the residence halls):
a. I am a non-smoker and want to live with a non-smoker.
b. I am a non-smoker, but don't mind living with a smoker.
c. I am a smoker.
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2. Sleep habits during the week:
a. I go to bed before 10:00 p.m.
b. I go to bed before midnight.
c. I go to bed after 2:00 a.m.
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3. Sleep habits on weekends:
a. I like to get up early.
b. I like to sleep in.
c. My schedule varies.
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4. When it comes to personal belongings:
a. What's mine is yours; use whatever you want.
b. You can usually use my things; just ask first.
c. I prefer that people not use my things.
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5. My room tends to be:
a. Clean and organized.
b. Clean but not necessarily organized.
c. Who has time to clean?
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6. When it comes to having visitors in the room, my attitude is:
a. Any time is fine with me.
b. Visitors are fine, but ask first.
c. I don't like having visitors in the room.
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7. When studying in my room, I prefer:
a. No noise.
b. Music or TV for background noise.
c. I will study elsewhere.
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Other Preferences (check any that apply)
I don't mind living with an upperclass student.
I would prefer not to live with an upperclass student.
I would like to live with someone in my major.
I would like to live with an athlete.
If there is any other information that you would like to share, that would assist us in placing you, please write here:
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