Residence Life Roommate Questionnaire - Beatrice Campus - Fall 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.

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Student ID# *
First Name: *
Last Name: *
Cell Phone Number: (xxx-xxx-xxxx) *
Program of Study: *
Age: *
Gender I identify as: *
Please check any of the following intercollegiate sports teams you are playing for at SCC:
My favorite genre of music is:
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I consider myself:
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My favorite free time activities include:
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When studying, I prefer:
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Am I a morning person or a night person?
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When it comes to household items (food, toilet paper, trash bags, paper towels, cleaning supplies, etc.), I would like:
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Tobacco and e-vapor:
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I plan to keep my space:
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I would like a roommate who:
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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:
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