26-27SY Roommate Interest Form

Roommate Interest Form
Name*

First NameLast Name
Nickame
Gender*

MaleFemale
Grade Entering*
Email we can reach you at*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Please provide your WeChat or WhatsApp number so we can contact you over the summer, if needed. Please put WeChat or WhatsApp along with the number. Example: WeChat: Debbie_NBPS2022*
Which statement best describes you?*

I am a morning person and prefer to live with a morning personI am a morning person and can live with a night personI am a night person and prefer to live with a night personI am a night person and can live with a morning person
Which statement best describes your preferred studying environment in your room?*

I prefer a study environment that is very quietI prefer a study environment with some noiseI am able to study regardless of noise levelI must have some level of noise in order to study
How would others describe you? Mark all that apply.*

FunnyAthleticArtisticEasy GoingFashionableOutdoorsyShySeriousStudiousQuietCreativeEnergeticEmotionalSilly/GoofyDisorganized/MessySpontaneousLeaderOutgoing
Please select your top 3-5 concerns about your future roommate:*

Not picking up after themselvesFriends over too muchMessyEating my foodBeing loud when I study/sleepFriendlinessLack of respect for my privacyBad personal hygieneUsing my things without askingNot willing to compromiseCommunication problemsLoud Music/TV
Do you suffer from any of the following?*

SnoringSleep-walkingApneaInsonmiaNone of the above
Are you interested in trying out for one of the competitive athletic teams?*

YesNo
If yes, what sport(s) do you play competitively?

American FootballCross CountrySwimmingCheerleadingGolfIce HockeyGirls VolleyballSoccerBasketballBeach Volleyball (girls)Boys VolleyballTrack & FieldFlag Football (middle school)BaseballLacrosseTennisSoftball (girls)
When do you go to bed? Indicate where you fall on the scale.

1

2

3

4

5

1 is Early (9PM ), 5 is Late
When do you wake up? Indicate where you fall on the scale.

1

2

3

4

5

1 is Sunrise, 5 is Late
How dark is your room for sleeping? Indicate where you fall on the scale.

1

2

3

4

5

1 is Pitch Black, 5 is Light On
How clean do you keep your room? Indicate where you fall on the scale.

1

2

3

4

5

1 is Messy, 5 is Very Clean
If there is space available, are you interested in purchasing a single room for the school year for the cost of $12,000.*

Yes, I would like to be added to the waitlist to purchase a single room.No, I am not interested in purchasing a single room.
Is there anything else you feel we should know about you?
Should be Empty: