Living Profile Form

General Information
 

Salutation

MrMsMrsMiss

Name

Surname

Date of Birth

12345678910111213141516171819202122232425262728293031 123456789101112

Gender

MaleFemale

Email

Living Profile
 

I like to go to sleep:

earlylate

I get up:

earlylate

I like to socialize:

a lotsometimesnot often

I listen to music:

a lotsometimesnot often

My music preferences are:

poprockclassicalheavy metalcountrydance

I smoke:

noyes

I can live with a smoker:

noyes

I prefer my room:

very tidyaveragelived in

Do you study
in your room:

noyes

Sports (please list):

Hobbies (please list):

Do you have a
roommate request:

noyes

If Yes, indicate your roommate below.
Ensuring that you also are listed on their application.

Roommate Name:

Roommate Surname:

Have you lived in a residence before:

noyes

If yes, where:

from (MM/YYYY):

123456789101112

to (MM/YYYY):

123456789101112

Are you getting a
computer with you:

noyes

Faculty and
Degree program:

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