Roommate Interest Form
Name
*
First Name
Last Name
Nickame
Gender
*
Male
Female
Grade Entering
*
Please Select
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Email we can reach you at
*
example@example.com
Phone Number
*
-
Country Code
-
Area Code
Phone 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 person
I am a morning person and can live with a night person
I am a night person and prefer to live with a night person
I 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 quiet
I prefer a study environment with some noise
I am able to study regardless of noise level
I must have some level of noise in order to study
How would others describe you? Mark all that apply.
*
Funny
Athletic
Artistic
Easy Going
Fashionable
Outdoorsy
Shy
Serious
Studious
Quiet
Creative
Energetic
Emotional
Silly/Goofy
Disorganized/Messy
Spontaneous
Leader
Outgoing
Please select your top 3-5 concerns about your future roommate:
*
Not picking up after themselves
Friends over too much
Messy
Eating my food
Being loud when I study/sleep
Friendliness
Lack of respect for my privacy
Bad personal hygiene
Using my things without asking
Not willing to compromise
Communication problems
Loud Music/TV
Do you suffer from any of the following?
*
Snoring
Sleep-walking
Apnea
Insonmia
None of the above
Are you interested in trying out for one of the competitive athletic teams?
*
Yes
No
If yes, what sport(s) do you play competitively?
American Football
Cross Country
Swimming
Cheerleading
Golf
Ice Hockey
Girls Volleyball
Soccer
Basketball
Beach Volleyball (girls)
Boys Volleyball
Track & Field
Flag Football (middle school)
Baseball
Lacrosse
Tennis
Softball (girls)
When do you go to bed? Indicate where you fall on the scale.
Early (9PM )
1
2
3
4
Late
5
1 is Early (9PM ), 5 is Late
When do you wake up? Indicate where you fall on the scale.
Sunrise
1
2
3
4
Late
5
1 is Sunrise, 5 is Late
How dark is your room for sleeping? Indicate where you fall on the scale.
Pitch Black
1
2
3
4
Light On
5
1 is Pitch Black, 5 is Light On
How clean do you keep your room? Indicate where you fall on the scale.
Messy
1
2
3
4
Very Clean
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?
Submit
Should be Empty: