Introduction
BioInformation
AddressInformation
HousingPreference
Hello!WeareexcitedyouwillbejoiningusthiscomingfallatBluffton!Yourroommateandhousingareaveryimportantpartof
your firstyearexperience so please answer the followingquestions thoroughly. We willuse this information to handmatch andplace
youin a residence hall. You willreceive your roommate andhousingplacementbefore prior to move in. So do notworry if you don’t
hear from us immediately.
FirstName: *
LastName: *
PreferredName: *
Gender: *
City: *
State: *
CellPhone: *
Email: *
Mayweshareyouremailwithaprospective
roomate?: *
Intendedmajor(s)(write"deciding"ifyouarenotsure): *
HousingPreference(cont.)
ActivitiesInformation
LifestylePreferences
Iama: *
FirstHallPreferenceChoice: *
SecondHallPreference Choice: *
RoommatePrefer
ence
(optional):
NO
T
E
:
RequestswillbehonoredifspaceallowsANDifbothroommateslistthesamepreference.
Smoker?: *
Wouldyoubewillingtolivewithasmoker?: *
Pleasesharewithourofficeanyspecialhousingneeds
y
ouhave.Iftherearenospecialhousingneeds,write
"
none"
.
Anyneedsrelatedtohealthorabilitieswillneedtobe
approvedthroughDisabilitiesCounselorJacquiSlinger:
*
Whaton-campusactivitiesareyouinterested
in:
Whichsportwillyoubeinvolvedin:
Whatkindofrelationshipdoyouwantwithyour
roommate?: *
Howoftendoyoucleanyourroom?: *
Athletics
Academic major related clubs
Spiritual/religious related clubs
Performance groups (theater, music, etc.)
Baseball
S
occer
Basketball
Softball
Cross Country
Track
Football
Volleyball
Golf
LifestylePreferences(cont.)
Finish
Whendoyouanticipateyourdaybeginning? *
Whendoyouanticipateyourdayend? *
Howsocialdoyoupreferyourroomtobe? *
If1=quietand5=outgoing,wheredoyouplace
yourself? *
Whenstudying: *
Howmuchtimedoyouspendwatchingtelevision,moviesorplaying
videogames? *
What2typesofmusicdoyoulistentoand
enjoymost? *
*
Bysubmittingthisform,Iacknowledgethattheaboveinformationisaccurateandwasfilledoutbyme.Iacknowledgetheofficeofresidencelifewill
usethisinformationinmatchingmewitharoommate(ifapplicable).Further,IamalsoawarethatBlufftonUniversityisasubstancefreecommunity
andacommunityofrespectandIagreetoabidebytheuniversity'scampusstandardsasoutlinedintheBlufftonUniversityStudentHandbook.
I agree
Alternative/Indie Rock
Classical
Rock
Country
R&B
Broadway Showtunes
Christian
Latin
Pop/Top 40
Rap
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