Housing Application for Fall Leave Students

Welcome back! To ensure that your application for housing will be processed, please make sure you have contacted all appropriate offices and have submitted this housing application by Monday November 5, 2012.

To complete the application, please list your top eight house choices and answer the questions on this form. Please be aware that space in one specific house and/or single room is extremely limited for leave students. You are not guaranteed to receive a room in any of your eight house choices. However, with your assistance we will make every effort to accommodate you. The longer you wait to submit this form, the lower your chances are of receiving your request.

Returning term

Spring 2013 Spring 2014

Banner name

ID number

Mailing address

Until (date)

Class year

Campus box

Phone

Phone (after January 1)

E-mail address

Former campus house (prior to leave of absence)

Below is information regarding specialty housing and the process you need to complete if you selected one of these options as your first through eighth choice.

In the event that a student coming back from fall abroad has selected Hopkins or Tenney and the room draw waiting list has been exhausted, we will then look at the fall abroad house preferences list to see who has selected one of these houses with the exception of former house students. Those with room change forms filed with the housing office could also be considered.

Friedman Apartments is housing that you either select with three other friends in a special preroom draw process in the spring or when there's one or more openings during any given semester and you know someone that has asked you to live with them. These apartments are in a different category than traditional housing and go through a special lottery in March.

If you are interested in Dawes house, please contact the HC for an interview. Once you've had your interview, an e-mail is sent to the housing office to put you on the waiting list or offer you a space, depending on availability. This is also the procedure for room draw.

House Choices

If space allows, do you wish to return to your former house?

Yes No

Your answers the following questions will be used in the event that we need to place you with another student. Please be as honest and accurate as possible.

I prefer a:

Smoking room Nonsmoking room No preference

I regularly go to bed:

Before 11 p.m. Between 11 p.m. and 1 a.m. After 1 a.m. No preference

I expect to receive phone calls after 11 p.m.:

Yes No

I expect to receive phone calls before 8 a.m.:

Yes No

In terms of privacy I need:

Much Some Little

I prefer my room to be kept:

Neat Messy No preference

I play music while I'm studying:

Yes No

The type of music I prefer is:

Country/western Pop Folk Alternative Rap Religious Jazz Classical Ska Show tunes No preference

I would mind my roommate having friends overnight:

Yes No

I would mind my roommate having a significant other overnight:

Yes No

I would prefer a double room even if a single is available:

Yes No

Please indicate which three items we should be most concerned about when arranging your roommate assignment:

Smoking Bed time Phone calls Privacy Tidiness Listening to music Type of music Overnight guests Double room

Please share any additional information which you believe would be helpful in assigning you a roommate.