Off-campus Housing

First Name:

MI:

Last Name:

Phone:

Are you a first-year student? Yes No

E-mail address (required):

AIM Screenname:

May we list your e-mail as part of your contact info? Yes No

Home address 1:

Home address 2:

City:

State:

Zip:

Please select values from the following.

Gender: ---------- Female Male

My smoking preference: --------------------- Non-smokers Smokers

Please take a moment to list any special requests, personal information or other information you might find useful in your roommate search.

Yes!, Please e-mail me updates to the roommate matching lists.

I'd prefer snail-mail updates of the roommate matching lists.