Roommate Placement Card

Before you complete this form, please make sure you have read the appropriate information in New Students.

Name:	Last:	First:	Middle:
Your E-mail:
Your cell phone number: (only used for emergencies on campus)
Parents' E-mail: (just one):
Gender:	Male Female
Phone: ( )		City: State:
Entering as: freshman		transfer
Roommate preference? (mutual requests are honored, please type full name)

1. Do you prefer a single room (very limited)? No Yes
2. Do you smoke?
	frequently	occasionally	never
3. Is your usual bedtime
	before midnight?	after midnight?
4. As a housekeeper, do you see yourself as
	neat	average	messy
5. Which time of day are you most active and productive (i.e. exercising, cleaning, watching tv, etc.)?
	morning	afternoon	night
6. Which time of day do you study best?
	morning	afternoon	night

7. Do you prefer your room temperature
	warmer	cooler
8. What is your favorite type of music?:
9. Do you anticipate using your room for gatherings with friends?
	yes	no

10. When studying do you prefer to have background noise from TV, radio, or stereo?
	yes	no
11. Are you willing to live with an international student?
12. What is your anticipated academic major?
Undecided Accounting Art Asian Studies Biology Business Chemistry Classics Communication Studies Computer Science Earth and Environmental Science Economics Education Engineering (dual degree) English Greek Health and Exercise Science History Individualized Curriculum Program Information Technology Latin Mathematics/Mathematics-Economics Military Science Modern Languages (French, Spanish, German) Music (Church, Education, Performance, Theory) Neuroscience Philosophy Physics Political Science Pre-Law Studies Pre-Med Studies and Health Careers Psychology Religion Sociology Theater Arts Urban Studies
13. Extracurricular activities, clubs, sports, hobbies, etc.

14. Will you be a member of a varsity athletic team?
	yes	no
	If so, which team?
15. Are you over 6'3" in height?
	yes	no
16. What is your first choice of residence halls?: 14. What is your second choice of residence halls? 15. If the specific residence halls you requested are unavailable, please choose the side of campus you prefer:
16. Are you considering applying to participate in the Engaged Living Program?
17. Any reasonable request concerning your rooming arrangement or additional information we should know in finding you a roommate
18. Please enter the last 4 digits of your social security number for verification. If you are an international student, please enter 0000

Furman University does not pair roommates on the basis of race, religious preference or national origin.If you need special housing accommodations due to a disability, you must follow the guidelines provided by Disability Services at http://www.furman.edu/housing/DisabilityServices.htm before May 30, 2008.

Specific building requests will be considered in the order that these forms are submitted. If you resubmit your form at a later date, the most recent submission will be considered. If triple rooms are necessary, they will be assigned to the students who submit this form last.

Note: You only need to click "Submit survey" once.