First Name
Middle Name
Last Name
Nickname
Birth date
January February March April May June July August September October November December / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /
Gender
E-mail
Parent's e-mail
Home Phone
Student's cell
Father's name
Mother's name
Home address
City
State
Zip
High School
Intended Major
Check One:
Check One:
Roommate Preference Information
Roommate assignments are made based on the following information. Residence hall assignments are then made based on the earliest confirmation date between you and your roommate(s)
Do you have a roommate preference?If yes, please list their name here: Please note that they must also indicate a desire to room with you on their form.
Do you have a residence hall preference?If yes, please list here: Due to space limitations, preference is not guaranteed. We strive to place freshman in freshman residence halls.
Please select one response in each of the following questions:
Which statement best describes you?
Which statement best describes you?
Which best describes you?
Which best describes you?
Which statement best describes your bedroom at home?
How do you feel about your roommate borrowing your personal belongings (clothes, food, toiletries...)?
When assigning a roommate, what should we consider as most important to you?
Academic major
1 2 3 4 5 6 7
Sleep Habits
1 2 3 4 5 6 7
Christian commitment
1 2 3 4 5 6 7
Music preference
1 2 3 4 5 6 7 What style?
Student activities
1 2 3 4 5 6 7 Which activity?
Sports involvement
1 2 3 4 5 6 7 Which sport?
Other
1 2 3 4 5 6 7 Please explain.
From the following list, please check if you participated in high school and/or if you plan to in college.
High School College
Student Activities
Band
Big Brothers/Big Sisters
Chess Club
Choir
Debate
Habitat for Humanity
Intramural sports
Newspaper
Outdoor Club
Theatre
SADD
Student government
Youth Group
Yearbook
Sporting Activities
Baseball
Basketball
Camping
Cross Country
Fishing
Football
Hiking
Hockey
Hunting
Skiing
Softball
Soccer
Swimming
Tennis
Trainer
Track
Water sports
Weightlifting
Wrestling
General Interest
Art
Cars
Computers
Biking
Dance
Languages
Mission trips
Music
Reading
Television
Travel
Other:
Other:
My favorite kind of music is:
My favorite group or performer is:
My favorite television show is:
In my spare time I like to:
I am the kind of person who enjoys:
The most important thing in life is:
The qualities I look for in a roommate are:
How many semesters (if any) have you already completed at a previous institution?
Optional Question
Please list any physical concerns that may impact your placement in the residence hall.
