Residence Life Roommate Questionnaire - Milford Campus

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Residence Life Roommate Questionnaire - Milford Campus - Spring 2021

Welcome to Southeast Community College Residence Life! You have made a great choice in on-campus living. In order to place you with a roommate that is as compatible to your interests as possible, we ask every incoming resident to complete this short questionnaire.

Southeast Community College Residence Life Staff will make every attempt to match roommates with similar interests and living habits; however, compatible roommate assignments are not guaranteed. Roommate assignments are made on a non-discriminatory basis without regard to race, color, ethnicity, religion, sex, age, marital status, national origin, veteran status, sexual orientation, disability, or other factors prohibited by law.

Student ID# *

First Name: *

Last Name: *

Cell Phone Number: (xxx-xxx-xxxx) *

Program of Study: *

Age: *

Gender I identify as: *

Female

Male

My music preference is:

Country

Pop

Rock

Rap

Other:

I consider myself:

An extrovert - outgoing, social

An introvert - quiet, enjoys alone time

Clear selection

In my free time I enjoy:

Entertainment: music, movies, video games, socializing

Outdoors: hunting, fishing, farming

Healthy Living: sports, working out, healthy eating

When studying, I prefer:

A quiet place, free of distractions

Music, background noise and/or company

Clear selection

I am a morning person:

Yes

Clear selection

I am a night owl:

Yes

Clear selection

When it comes to household items (food, toilet paper, trash bags, paper towels, cleaning supplies, etc.), I would like:

Each roommate to be responsible for purchasing their own items

To split the cost of community items between roommates

Clear selection

Tobacco and e-vapor:

I could live with a roommate who smokes or vapes

I would rather not live with a roommate who smokes or vapes

Clear selection

I plan to keep my space:

Neat and tidy

Casual and lived in

Clear selection

I would like a roommate who:

Is outgoing

Keeps to themselves

Clear selection

Please list any characteristic which you consider undesirable in a roommate/suitemate:

Please list any additional comments or considerations (please contact SCC’s Student Support & Accommodations Resource Office if you have any special needs requests, but also please list them here):

If you would like to request a specific person to be your roommate, or specific suitemates, please provide their name(s) below. Each person listed below must also provide your name on their questionnaire in order for you to be placed together. Roommate/Suitemate 1:

Suitemate 2:

Suitemate 3:

Submit

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