Roommate and Residential Options Form
To help the Badger Precollege staff make roommate pairings, you have the option to complete this section of the Roommate and Residential Option Form. Not all students may choose to complete this form. Badger Precollege will do their best to create the best match possible based upon this information and age. This information will be treated as confidential.  
Sign in to Google to save your progress. Learn more
Student First and Last Name *
Which program(s) are you participating in this summer? *
Required
What is your gender? *
What is your primary email address for program information? *
What is your primary phone number for program information? *
Which type of atmosphere do you prefer for your room?
Clear selection
What is your attitude toward sleep?
Clear selection
The aspect of my Badger Precollege program I am most looking forward to is...
Clear selection
Please list three passions and/or interests you really enjoy:
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Workspace. Report Abuse