Roommate Preference Sheet Date MM DD YYYY Name * First Last Date of birth * MM DD YYYY Student Address * Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country Email Address * Home Phone Number * ### ### #### Cell Phone Number * ### ### #### High School Attended, City, Sate * Classification * First-year student Transfer student Are you a student athlete? * Yes No If yes, which sport? Please check to indicate permission for release of your home/cell numbers. I give permission to release my home phone number I give permission to release my cell phone number Lifestyle Preferences To help identify potential roommates with similar habits, please let us know what your characteristics are: (check all that apply) * night person day person smoker non-smoker early riser sleep late stay up late go to bed early large gatherings of people small gatherings of friends very tidy a little messy rarely picks up outgoing/social reserved/quiet I'm interested in living with a student from another country I'm interested in living with a varsity athlete If interested in living with a varsity athlete, which sport? When I study I like music * turned off turned on Special Needs If you have special needs that require specific accommodations while living on campus (such as disabled access, unusual allergies, special equipment, etc.) please let us know. Designating a Roommate Students are allowed to choose a roommate if the choice is mutual. Your roommate must also designate you as their roommate. Although the college attempts to accommodate requests, there is no guarantee the roommate you prefer will be housed with you. Transfer students who are selecting to live in upper class housings are doing so after the currently enrolled students have done so. Placement in upper class housing is based on availability. Roommate Name First Last Roommate Birthdate MM DD YYYY By submitting this form, I ensure all the information contained in this form is accurate and I allow Notre Dame of Maryland University Residence Life Staff to use this information to assign me University housing. * I understand and agree to the above statement.