Roommate Application

University Apartments bedroom with two residents

Living off-campus is better with your ideal roommate. Please use the form below if you are a Health Sciences (Marion) campus student who needs assistance with finding a roommate.

Please select the option(s) that best suit your housing needs and/or preferences.

All fields marked with asterisk (*) are required.

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Sex*
Sex is the classification of a person as female, male, or intersex at birth.
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Gender*
Gender is the classification of how a person perceives themselves and what they call themselves in terms of their gender. Cisgender is a term used to describe someone who gender identity aligns with the sex assignment to them at birth (i.e. female or male).
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*Please note that this is not an exhaustive list of terminology related to gender, but this list will be important when discussing roommate information within this form.

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Gender Identity*
Please select one of the following
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Housing Information

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Lease Preferences*
Lease Preferences
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Housing Type*
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Number of Bedrooms*
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Number of Bathrooms*
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I am wanting to live alone, but if necessary I am willing to have ____ roommates.*
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The most I plan to pay for rent (not including utilities) is*
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Preferred Amenities*
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When do you need your lease to begin?*
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Personal Inventory

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The personal inventory is intended to gather information about the student’s interests, habits, and preferred living environment. Please be honest. Roommate matches are best built on mutual honesty.

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Academic Program*
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Do you prefer to live with someone who is in the same program as you, or are you willing to live with someone from a different program?*
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Study Habits

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Please select the option that best describes your study habits

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Are you more likely to study in your living unit or on campus or an off-campus location?*
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When it comes to background noise, I am:*
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Sleeping Habits

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Please select the option that best describes your sleeping habits.

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When it comes to mornings, I am:*
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When it comes to evenings, I am:*
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Room Conditions

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Please select the option that best aligns with your room condition preferences.

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When it comes to housekeeping, I am:*
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When it comes to my bed, I prefer:*
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When it comes to my dresser, you will find my clothes:*
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When it comes to room temperature, I prefer:*
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Kitchen Conditions: When it comes to dirty dishes, you will find:*
Please select the option that best aligns with your kitchen condition preferences.
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Guests: When it comes to guests, my preferences are:*
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When it comes to tobacco and nicotine vape products,*
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Are you willing to live with someone who has a pet?*
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Would you be willing to room with a student who has an emotional support animal or service animal?*
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Would you be interested in gender-inclusive housing?*
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If yes, please indicate who you would be comfortable living with based on these identities (mark all that apply):
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Student Signature By signing your name, you are confirming the above information is accurate and correct, was typed by the student, and can be shared with others.
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Date Signed: By signing the date , you are confirming the above information is accurate and correct, was typed by the student, and can be shared with others.