Roommate Matching Application

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* Required information.

A PDF version of this application also exists. If you would like to fill out an application by hand, please download it here.


Personal Information

First Name *
Last Name *
Address line 1 *
Address line 2
City *
State/Province *
Zip Code *
Home phone number *
Cell phone number
Current email address (*This must be valid or your application will not be processed.) *This must be valid or your application will not be processed
Age *
Gender *

Preferences

Preference of roommate gender *
I would describe myself as... *
I would describe myself as a.... *
I would describe myself as... *
I am a smoker *
I drink... *
It bothers me when others... *
Known Allergies *
Special Hobbies or Intrests *

Student Information (if applicable)

School Attending
Field of study
YearExample: Senior
I study...

Employment Information


I work...
Employer name
Occupation

Terms


Do you agree to the terms above? *
Applicant's full name *
Date Accepted *
Additional comments about your application