Usao Lawson Court/sparks Hall Roommate Preference Form printable pdf download

USAO Lawson Court/Sparks Hall Roommate Preference Form

To assist you in having the best residential experience, it is very important that you are honest with your responses. We will do

our best to match you with your listed preferences based on our availability. For each area below, check the one box that best

applies to you. All information given will remain confidential.

NAME:_________________________________ Age:_________ Hometown:_____________________________

I am a:

New Student

Transfer Student

Returning Student

I already know who I want as roommates. They are:

____________________________

_________________________________

____________________________

(roommates must request each other before assignments can be made)

Do you give permission to release your telephone number and email address once you and your roommate have been assigned?

Yes

Study Habits: (check all that apply)

In my room

TV off

With music

In the library

TV on

Without music

Sleeping Habits:

Go to bed early

Get up early

Flexible

Go to bed late

Get up late

Cleanliness:

Neat freak

Not too messy, not ultra-neat

Messy-can’t see the floor

Smoking (All residence halls and campus buildings are tobacco free)

I am a nonsmoker and I am allergic to smoke or bothered by a roommate who smokes outside

I am a nonsmoker but I am not bothered by a roommate who smokes outside

I am a smoker

Drinking (Residents 21 and over are permitted to consume up to 3.2% proof alcohol)

I do not consume alcohol but I am not bothered by a roommate that drinks

I do not consume alcohol and I am bothered by a roommate that drinks

I consume alcohol

How would you feel about your roommate having an overnight guest stay?

I am open to a roommate who has overnight guests.

I am not open to a roommate who has overnight guests.

How do you feel about your roommate borrowing your personal belongings (clothes, food, toiletries...)?

What’s mine is yours; use whatever you want

You can usually use my things; just ask first

I prefer it if people not use my things

What three words best describe you:_____________________

_______________________

________________________

Optional: I am a _________________________________ major and prefer to be assigned with someone with my major.

*Do you have any medical concerns or physical limitations that would be helpful to know for placement purposes? If yes, please

explain on the back of this page.

*If you have any other preferences, please explain on the back of this page.

Usao Lawson Court/sparks Hall Roommate Preference Form

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