Lewis & Clark College Office of Campus Living P 503.768.7123 F 503.768.7977 E living@lclark.edu If you do not have a roommate at the time of your application to the campus apartments or
Trang 1Lewis & Clark College Office of Campus Living P 503.768.7123 F 503.768.7977 E living@lclark.edu
If you do not have a roommate at the time of your application to the campus apartments or during room selection for the residence halls, you are required to
complete this form so that the Campus Living staff have adequate information about you to assign a compatible roommate The absence of this form does not mean a roommate will not be assigned to you Please return this form with your Lease Agreement/Housing Contract
R OOMMATE P LACEMENT Q UESTIONNAIRE FOR R ETURNING S TUDENTS
Room Preference
I am applying for an Apartment Residence Hall Contract/Lease Length: Academic Year Fall Spring
If you marked partial year, please indicate which overseas/domestic program you will participate in or note other reasons for a partial year:
I prefer this room type: Double Single Apartment Please mark all that apply but understand this does not guarantee availability
If you are applying for a campus apartment, did you also complete a housing contract in the event an apartment is unavailable? Yes No
Diversity & Inclusion
Campus Living is committed to creating a supportive, interdependent, and educationally purposeful residential community for Lewis & Clark College To that end we celebrate the diversity of our campus population and seek to provide safe, inclusive, supportive, and positive residential experiences for ALL of our students
The following questions are designed to help us place students in an environment that allows them to be their most authentic selves
Campus Living seeks to provide a safe and supportive environment for LGBTQIA+ students and looks to place them with other students who are
allies Gender inclusive is defined as being open to all persons of all gender identities and/or gender expression An ally is defined as a person who
is supportive of members of the LGBTQIA+ community If you are unsure of what LGBTQIA+ stands for, please click here
If yes, Campus Living staff may initiate a follow up conversation with you
Personal Information and Preferences
On questions with multiple choice boxes, please mark all that apply
About Me:
Possible field of study/major & other intellectual interests:
What extracurricular activities or other activities do you do for fun & relaxation?
A significant amount of social time
Although Lewis & Clark is a smoke and tobacco-free community, smoking habits off-campus are an important factor on which we match roommates
Trang 2Room Care and Use:
guests
Sleep Habits:
Study Habits:
Roommate Qualities:
What qualities are you looking for in a roommate? _ What qualities would you find difficult to tolerate in a roommate?
Is there any additional information you would like us to consider when matching you with a roommate/s or about the sections above?