Housing Intention : Welcome Packet Forms : Student Life

University of Redlands
Housing Intention Form

Please complete this form and return it to the Student Life office ASAP.

SPRING 2013

SECTION 1: Student Information

Full Name:

Gender:

Student ID:

Date of Birth:

Current Address:

Email Address:

Cell Phone:

Class Standing:

SECTION 2: Please check one of the two boxes below, and continue to complete this form.

Housing Choice:

Housing Preferences and Roommate Information
Please list your housing preferences by priority (if applicable):
First hall choice:
Second hall choice:
Third hall choice:
Fourth hall choice:
Fifth hall choice:
Please note any additional information which would be helpful for your placement:

Name of preferred roommate(s) (if applicable):
In order to make the best possible roommate matches please complete the following:
Do you smoke?:	Yes No
Do you object to having a roommate who smokes?:	Yes No
I consider myself to be:	a morning person a night person adaptable
Are you most comfortable in your room when:	it is clean and neat it is clean, but gets cluttered Doesn't matter
Do you prefer a quiet roommate?:	Yes No Doesn't matter
My privacy is:	Very important Important Somewhat Important Not at all important
What is your Major?:
Would you like someone of the same major interest of study?:	Yes No Doesn't matter
What are some of your hobbies and/or interests?:
What types of music do you listen to in your room?:

SECTION 3: Meal Plan Selection

Please place me on meal plan:

*Minimum plan for students living in residence halls
**Minimum plan for freshmen living in residence halls
***For off-campus approved students only

SECTION 4: Signature

Signed (please type your name):

Note: The Student Life Office will attempt to honor, but cannot guarantee housing assignments

Are you sure you would like to cancel and go back?