Resident Information

Name: * Nickname:

Home Address:

City: State: ZIP:

Gender: * Female Male

Date of Birth (day/month/year):

Current Address:

City: State: ZIP:

Email: * Home/Cell:

Year in School: Freshman Transfer Other

Emergency Contact Information #1

Name: Relationship to you:

Address:

City: State: ZIP:

Phone Day: Phone Night:

Emergency Contact Information #2

Name: Relationship to you:

Address:

City: State: ZIP:

Phone Day: Phone Night:

Roommate Selection

Do You Already Have a Roommate? (choose one)

NO
We will provide roommate matching for you. Please continue to complete this form.

PARTIALLY
If you already know one or two of the people you want to room with, but still want to be matched into a larger group, please list their first and last names below. Everyone in your group must have the same names listed on their forms and you must all complete this entire form.

Roommate Names

YES
If you have already chosen roommates please list their first and last name(s) below. Please note everyone in your group must have the same names listed on their form. You do not need to complete the rest of this form.

Roommate Names

I'M LIVING ALONE
If you are living in a one bedroom apartment you do not need to complete the rest of this form.

Personal Infomation

Parents should not complete this information, it must be completed by the resident. Please note Campus Connect does not sell or share this information with any one. Only the team that makes the matches will see it.

1. Where do you expect to do most of your studying?   
Bedroom Apartment Study lounge Library, coffee shop, etc.

2. When do you expect to do most of your studying?   
Morning Afternoon Evening Weekends

3. Does low background noise or light music bother you while you're studying?   
Yes No

4. Do you smoke?   
Yes Socially No

Would you live with a smoker?
Yes No

5. What time do you usually go to bed?   
Early (8 pm to 10 pm) Average (10 pm to midnight) Late (after midnight)

6. What time do you usually wake up?   
Early (5 am to 7 am) Average (7 am to 10 am) Late (after 10 am)

7. Are you a light sleeper?    Yes No

8. Can you fall asleep easily if woken up?    Yes No

9. Do you snore or talk in your sleep?    Yes No

10. Do you like "white noise" while falling asleep?    Yes No

11. What kinds of TV shows do you like?   
Primetime Sports Movies Reality
MTV News PBS

12. What styles of music do you like?   
Hip-Hop Pop Country Alternative Metal
R&B Techno/Dance

14. Which word best describes your personality?   
Quiet Average Outgoing Loud

15. Which word best describes your housekeeping style?   
Laid back Average Neat Obsessive

16. Which word best describes your preferred living environment?   
Quiet/studious Social on weekends Center of action

17. How do you feel about overnight guests?   
Never OK Occasionally Weekends only Anytime

18. How do you feel about alcohol use?   
No tolerance at all Not when I'm around
Accepting Very tolerant

19. How much do you think you'll be home?   
Always out Usually out Usually home Always home

20. How important is private time?   
Not important A little each day Very important

21. How involved do you plan to be with Greek organizations?   
Not at all I'll check it out sometimes Very involved

22. Are you a UW-athlete?    Yes No

23. What are your three favorite things to do?

Please check all of your interests:    Sports Theatre Sailing Biking Cooking
Concerts Badger Games Karaoke Shopping Poetry Movies Hiking
Politics Board/Card Games Running Puzzles Creative Writing Skiing
Computers Volunteering Dancing Camping Video Games Golf
Singing Arts/Crafts Reading Student Government Student Publications
Activism Watching Sports Music Study Groups Eating Out
Fine Art Knitting Scrapbooking Bowling Fitness Fashion

Please describe your ideal roommate:

Anything you would want your future roommate to know? Anything for us?