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New Student Housing Questionnaire

1. Contact Information *This question is required.

First and Last Name
City, State, ZIP
Phone Number
Email Address
Age
Date of Birth
Intended Residency Address for Commuting (Any address over 50 miles is reviewed at a higher level in order to ensure student success.)

2. Gender *This question is required.

4. Years of College Completed *This question is required.

5. Are you transferring to Grace from another college/university? *This question is required.

6. Next school year, I plan to live: *This question is required.

7. Which categories below qualify you to be a commuter student? *This question is required.

I will be enrolled in less than 12 credit hours.
I am 22/over 22 years old (or will be 22 years old during this coming semester).
I have completed 120 credit hours or 8 semesters in a residence hall
I am an international student, or my parents are living overseas.
I will be living with an immediate family member (i.e. father, mother, grandparent, brother/sister, aunt/uncle over the age of 22).
Other (Possible examples: married, under 17, medical challenges, financial issues...) Please enter an 'other' value for this selection.

7. Birthday This question requires a valid date format of MM/DD/YYYY.

calendar

7. Relative Information: *This question is required.

Relative's Name
Relationship to you (i.e. parent, sibling, grandparent, etc)
Relative's Phone Number
Relative's Street Address, City, State, Zip Code

7. I understand that Grace College is primarily a residential campus and that commuter status is granted with very few exceptions. I affirm the above information I have provided is true and accurate. By signing this, I also understand a violation of this policy could result in significant monetary fees. *This question is required.

Clear

Signature of

7. Please indicate your first, second, and third choice of resident halls below. If you would like to see a listing of all residential options, go to https://www.grace.edu/residence-halls/. Be aware that some options are only available to upperclassman. Please list three separate choices.

First choice
Second choice
Third choice

7. Interests/Activities

Anticipated Major
Extra-curricular Activities (sports, intramurals, drama, student organizations, music, etc)
Anything you have trouble tolerating?

7. Favorite Music/Artists

Space Cell	Favorite	Least Favorite
1.	1.: Favorite	1.: Least Favorite
2.	2.: Favorite	2.: Least Favorite
3.	3.: Favorite	3.: Least Favorite

7. Sleeping Habits

Space Cell	8:00 AM or before	9:00 AM	10:00 AM or after	before 10:00 PM	10:00 PM	11:00 PM	Midnight	1:00 AM or after
When do you typically go to bed?	When do you typically go to bed?: 8:00 AM or before	When do you typically go to bed?: 9:00 AM	When do you typically go to bed?: 10:00 AM or after	When do you typically go to bed?: before 10:00 PM	When do you typically go to bed?: 10:00 PM	When do you typically go to bed?: 11:00 PM	When do you typically go to bed?: Midnight	When do you typically go to bed?: 1:00 AM or after
When do you typically get up?	When do you typically get up? : 8:00 AM or before	When do you typically get up? : 9:00 AM	When do you typically get up? : 10:00 AM or after	When do you typically get up? : before 10:00 PM	When do you typically get up? : 10:00 PM	When do you typically get up? : 11:00 PM	When do you typically get up? : Midnight	When do you typically get up? : 1:00 AM or after

7. Study Habits

Space Cell	Disciplined	Somewhat disciplined	Fair	Casual	Who studies?
How would you classify your study habits?	How would you classify your study habits?: Disciplined	How would you classify your study habits?: Somewhat disciplined	How would you classify your study habits?: Fair	How would you classify your study habits?: Casual	How would you classify your study habits?: Who studies?

7. Study Atmosphere

Space Cell	Silent and Still	Somewhat silent and still	Fair	Somewhat noisy and active	Noisy and Active
How would you classify your study habits?	How would you classify your study habits?: Silent and Still	How would you classify your study habits?: Somewhat silent and still	How would you classify your study habits?: Fair	How would you classify your study habits?: Somewhat noisy and active	How would you classify your study habits?: Noisy and Active

7. Room Preferences

Space Cell	Orderly	Somewhat orderly	Casual	Somewhat messy	Messy
How do you prefer your room?	How do you prefer your room?: Orderly	How do you prefer your room?: Somewhat orderly	How do you prefer your room?: Casual	How do you prefer your room?: Somewhat messy	How do you prefer your room?: Messy

7. Personality

Space Cell	Extrovert (Outgoing)	Somewhat extrovert	In-between	Somewhat introvert	Introvert (Shy)
Socially, do you consider yourself to be:	Socially, do you consider yourself to be: : Extrovert (Outgoing)	Socially, do you consider yourself to be: : Somewhat extrovert	Socially, do you consider yourself to be: : In-between	Socially, do you consider yourself to be: : Somewhat introvert	Socially, do you consider yourself to be: : Introvert (Shy)

7. Room Temperature

Space Cell	Hot	Somewhat hot	In-between	Somewhat cold	Cold
What room temperature do you prefer?	What room temperature do you prefer?: Hot	What room temperature do you prefer?: Somewhat hot	What room temperature do you prefer?: In-between	What room temperature do you prefer?: Somewhat cold	What room temperature do you prefer?: Cold

7. Personal Interests (Please check all that apply to you)

7. If you have any special circumstances (allergies, unable to climb stairs, etc) that may affect your housing placement, please explain below.

The housing department of Grace College will do its best to match roommates appropriately. Although roommates will be matched because of shared attitudes from this small sampling of questions, neither one should expect that they will both agree totally in all areas. Therefore, it is important for roommates to discuss not only their similarities, but differences as well.

To request a specific roommate, each student needs to list each other for the request to be considered. No phone calls will be accepted. Requests submitted by June 1 will be given fullest consideration for the fall semester. Initial roommate announcements will be communicated to new fall semester students via your Grace email in July. Spring enrollees should submit this form by December 1, but please note that housing availability is limited in the spring semester. Assignments will be made during Christmas break for the Spring semester and communicated via e-mail.

Our first priority in arranging your housing is to connect you to a compatible roommate. We do not guarantee that you will be assigned to the residence hall of your choice, but we do want to make sure to accommodate your special circumstances (i.e. allergies that require air-conditioning, unable to climb stairs, etc)

7. Please indicate your requested roommate below (if applicable)