YOUR NAME*
PHONE NUMBER*
EMAIL*
APARTMENT RENTED (if applicable):
BEDROOM PREFERANCE LeftRightCenterNo Preference
MOVE IN DATE (e.g. 2015-04-08) :
GENDER MaleFemale
HOW QUIET ARE YOU? Very QuietMostly QuietAverage
I PREFER A ROOMATE WHO IS... Very QuietAverageNo Preference
HOW MESSY ARE YOU? Very CleanMostly CleanAverage
I PREFER A ROOMMATE WHO IS... CleanerAverageNo Preference
GUESTS: I prefer a quiet atmosphereI prefer a social atmosphereNo preference
YEAR OF STUDY: FreshmenSophomoreJuniorSeniorGrad Student
AREA OF STUDY:
YOUR INTERESTS:
I agree to allow University Towers to place another resident (matched on the basis of gender) on a single liability lease in the above listed apartment. I also agree to allow University Towers to provide the information listed above to potential residents seeking single liability leases. University Towers will attempt to provide a roommate as closely matched to the above information as possible, however, I understand that University Towers is not responsible for the success of the roommate match.
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