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Housing Form

Basic Information

Name*
Preferred name/nickname (leave blank if N/A)*
Date of Birth (MM/DD/YYYY)*
Home Address 1*
Gender (Check all that apply)*
(example: American, Canadian, Indian, Netherlander, etc.)
Please list all
I am (Check all that apply)*

Personal Information - This will help us better match you with a suitemate

When do you typically start your day?*
When do you typically go to bed?*
Dietary restrictions (Check all that apply)
How tidy would you consider yourself on a scale from 1-10, 10 being the neatest?
How outgoing would you consider yourself on a scale from 1-10, 10 being the most outgoing?
Campus activities I am interested in (Check all that apply)*
Feel free to list any of your interests.
What might you be interested in doing on your time off?*
How would others describe you? (Check all that apply)*
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