Last Name: *

Middle Name:

First Name: *

Social Security Number: (999-99-9999)

Address: *

City:

State:–Select State–ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code:

Country

Birth Date: (MM/DD/YYYY) *

Home Phone: (999-999-9999) *

Cell Phone: (999-999-9999)

Email: *

Gender:

What name would you prefer to be called while living on campus?

Semester and year you plan to live in the halls: *
Fall Spring

–Select YEAR–20182019

High school graduating from:

Are you are a current USF student or transfer student?
No
Currently taking classes at USF
Transfer Student

If you answered YES, please complete the following.
Non-freshman students are able to select their preferred room style. Residence Education cannot guarantee the room style you request will be available, but we will do our best. In the boxes below please provide your first three choices of building and room style. For more information about the options please visit stfrancis.edu/student-affairs/living-on-campus.

Choice 1:

Choice 2:

Choice 3:

Other comments:

Personal Preferences

To better assist us in making roommate assignments, please answer the following questions as accurately as possible. Please note that while we will take your preferences in to consideration, we cannot guarantee your preferences and your roommate’s preferences to be an exact match.

Studying preferences: Studying is very important in the University community and different people have various situations in which they are able to concentrate at their maximum. Please choose the situation in which you are best able to study.

What time do you prefer studying? *–Select One–MorningAfternoonEarly eveningLate at night

Where do you like to study? *
Library In your room
Other  

What type of noise do you need when studying? –Select One–Need background noise to studyNeed complete silence to study

Living habits: I consider myself to be *–Select One–A neat, orderly personAverage in keeping my space cleanVery untidy

Morning/night person? *–Select One–I consider myself to be a morning personI consider myself to be a night person

I sleep: *–Select One–With background noiseIn complete silence

Thoughts about sharing: *–Select One–I don’t mind sharing my belongingsI would like to be asked before something is borrowedI prefer not to share my things

Personal Space Scenario: *
Returning back to your room you find that your roommate has three or four friends sitting around watching TV and talking. It seems as if your roommate always has people in the room.
Your response is:–Select One–This is very acceptable to meThis situation would be fine, occasionallyIt would be ok if I had planned to be gone and knew ahead of timeMy room is my home, and I should have privacy there

Do you prefer to have a roommate who: *
smokes does not smoke no preference

SMOKING: Smoking is prohibited in residence halls; smoking is only allowed in the following areas:

• East entrance of Donovan Hall
• Area facing north on Taylor Street at the east wing of Marian Hall
• Back entrance of Tower Hall

Receptacles for cigarette waste are provided to reduce litter on campus grounds.

What do you enjoy doing in your spare time? *

What type of music do you enjoy listening to? *

Do you have any special needs that require special housing?
YES
NO

If you selected “yes,” you must contact the Office of Disability Services (ODS) at 815-740-3204 or email the Disability Coordinator, Sean Murphy, at smurphy@stfrancis.edu for a Special Housing Accommodations Request form. The deadline for submitting a Special Housing Accommodations Request form for the fall semester is 90 days prior to move-in for returning students and 60 days prior to move-in for new students. The deadline for submitting a Special Housing Accommodations Request form for the spring semester is 60 days prior to move-in. Once ODS housing accommodation request deadlines have passed and the spaces are filled, students approved for housing accommodations through ODS will be placed on a first come first serve wait list.

Do you have a preference to live with a specific roommate?
Please list the student’s name below. This student must submit your name to the Residence Education office as well:

Would you be interested in living with an international student? *
YES
NO

I have participated in the following co-curricular and/or leadership activities: 

Learning Communities

I am in the Duns Scotus Program and am interested in living in the Duns Scotus Residential Learning Community in Marian Hall. *
YES
NO

I am a transfer student and I’m interested in living in the Transfer Student Residential Learning Community in Marian Hall. *
YES
NO

Housing Deposit

Paying your Housing Deposit: *
By Check
Online

Please enter your initials below to affirm that all information is correct as entered, and that you understand the terms and conditions. *