North Central College Housing Questionnaire for International Living 2022-2023
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International Living 2022-2023
International Community Housing Application
Full Name
North Central College ID #
Address, City, and Country
Cell Phone Number
Emergency Contact Name and Number (Name, Number)
Email Address
Birth Date
Age
Sex
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Gender
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First Semester at North Central College
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Please check one
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Anticipated Major
Housing Accommodations
Please Note: Students wishing to request a housing accommodation will need to contact Student Disability Services by phone at 630-637-5264 or by email at sds@noctrl.edu. Student Disability Services will guide the student through the request process and will inform the office of Residence Life of any approved accommodations. To learn more about this process, please contact Student Disability Services or visit the following [website.](https://hub.northcentralcollege.edu/sites/support-assistance/news/10406/sds-housing-information)
Do you have any medical or physical conditions that may affect your room assignment? (N/A - None)
Please list any housing accommodations that have been approved by Student Disability Services for 2022-23.
Tell Us About Yourself
The Office of Residence Life strives to match each resident with compatible roommates and living/learning environments. To assist with the matching process, it is important that you fill out the roommate questionnaire as completely and honestly as possible.  Please note: The College does not assign rooms or make changes to room assignments based on a student’s race, creed, religion, sexual orientation or national origin.
Do you smoke?
Clear selection
Are you comfortable living with a smoker?
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I identify as an ally of the LGBTQIA+ (lesbian, gay, bisexual, transgender, intersex, asexual) community.  Allies to LGBTQIA communities advocate for and support LGBTQIA individuals. LGBTQIA-identified people can also be allies to other people within their own communities. For more information about what it mean to be an ally visit the Cardinal Safe Zone page: https://hub.northcentralcollege.edu/sites/diversity-inclusion/news/10463/cardinal-safe-zone
Clear selection
Do you prefer to live with someone who self-identifies as an ally to the LGBTQIA+ community?
Clear selection
Are you a light sleeper?
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Do you prefer to get up early in the morning?
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Do you prefer to stay up late at night?
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Which time of day are you most active?
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How clean do you like to keep your room?
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Do you anticipate entertaining friends in your room?
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What is your favorite type of music?
What is your least favorite type of music?
Current extracurricular activities, hobbies, or interests:
If you are planning to participate on an athletic team, please indicate your main one here, or select “none of the above.”
Clear selection
Activities you plan to be involved in at North Central College:
Are there any particular attitudes or behaviors that make you uncomfortable?
What is the preferred relationship that you would like to have with your roommate?
Clear selection
Is there anything else we should know when considering your housing assignment?
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