Roommate Agreement Form
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1
2Roommate Agreement
When filling out this form, be respectful, open, honest, and direct. Compromise and flexibility are the
cornerstones of a good roommate experience. After discussing the following information with your RA,
please give a copy to them and keep a copy for the room.
Roommates Names Printed
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Building ______________ Room Number_________ Resident Assistant____________________
Cleaning Standards/Miscellaneous:
Spotless
Clean
Moderately clean
Lived in
1. Our space will be kept (circle one):
Daily
Monthly
Weekly
As needed:________________
2. We will clean (circle one):
Weekly
As needed
3. The trash will be taken out (circle one):
By whom? _______________
4. Our room/apt. temperature will be set at: ________________By whom? ____________________
5. Dishes can be in the sink for (hours/days): ___________________________________________
Share food/drinks
Share pots/pans
6. In the room, we will (circle all that apply):
Clean up after ourselves
Other:
____________________________________________
7. Necessities such as toilet paper, dish detergent, etc. will be purchased how?
________________________________________________________________________
8. Messages will be left where/within? (On the computer screen, door, 24 hours, etc.)
________________________________________________________________________
Unlocked when one of us is in the room
9. Our main door should be (circle one):
Locked at all times
Other:
______________________________
Studying/Sleeping:
1.
In the morning ( 9 AM-noon),
We have agreed that the study time in the space will be (circle one):
In the afternoon (noon- 5 PM), In the evening (5 PM -10 PM),
In the late evening (10 PM- midnight), In the late night (Midnight-9 AM)
2.
Complete quiet
When one of us is studying in the space, we are okay with (circle one) :
Low music/headphones
Television
3.
When studying with others in our space, the other roommate(s) agrees to:
______________________________________________________________________
4.
We agree that when talking on the phone we will (not be too loud, leave the room, etc.):
___________________________________________________________________
5.
Watch television
When a roommate is sleeping, it is okay to (circle all that apply):
Listen to music without headphones
Have lights on
Have guests over
Other:__________________________________________________________________
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