Students - Need Housing Form

Date Needed:
Last Name:
First Name:
Your Sex:
Male Female
Roommate preference
Male Female Either
City that you live in now:
State:
Email:
Phone:
Unit Preference (check all that apply)
Apt. Condo Townhouse Duplex House Any Type
Number of roomates preferred:
How much rent are you able to pay?
Your Age:
I am a/an:
Incoming Student Current Student
School/Program:
I own Furniture
Yes No
I Smoke
Yes No
I would like to live in a smoke-free home:
Yes No Doesn't Matter
Pets are ok
Yes No
I own a pet
Yes No
I drink alcohol
Never Seldom Sometimes Often
I am
Very Messy Messy Neat Very Neat
I study at
Home Library Lounges Varies N/A
I am a
Morning Person Night Person Varies
I invite company
Never Seldom Sometimes Often
Comments: Use this to tell about how often company may be over, home environment that is desired/ present (party animals, quiet all the time, do you drink/smoke/have lots of company, etc.) and whatever details you want to make sure prospective roommates have before they contact you.

All the information provided will be loaded into a separate document and shared with other students seeking roommate situations.