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New Students Reservation
Halcyon Hall - New Students Reservation
Personal Data
*
First Name
Middle
Last Name
Date of Birth
*
Permanent Address
*
Complete Address
Mobile Number
*
Email Address
*
Please select your academic level
*
Freshman
Sophomore
Junior
Senior
Graduate Transfer
Major
*
Select your arrival semester
Fall
Winter
Spring
Summer
Parent or Guardian Contact Information
Contact Name
*
Mobile Number
*
Email
*
Secondary Contact
Contact Name
*
Mobile Number
*
Email
*
Who should receive official correspondence?
Emergency Contact
Contact Name
*
Relationship to you
*
Mobile Number
*
Email
*
Secondary Contact
Contact Name
*
Relationship to you
*
Mobile Number
*
Email
*
Background Details
Will you be participating in extracurricular activities such as team sports, music groups or student government? If so please specify below.
*
Background Details
Which floor would you like to live on?
*
(Freshman live on first floor only)
Room Preference
*
Single
Double
(Freshman are eligible for double occupancy only)
Do you have a preference for a roommate? If yes, please provide the name below
*
Room Selection
Roommate Name
*
Roommate Mobile Number
*
Roommate Email Address
*
I consider myself
*
New Christian
Growing Christian
Serious Christian
Non-Christian
Atheist
How social are you?
*
Very social (I like to have friends visit my room everyday)
Moderately social (I like to have friends visit my room several times per week)
Somewhat social (I like to have friends visit my room fewer than three times per week)
Not very social (I rarely like to have friends visit my room)
I clean/organize my room:
*
Everyday
Three times per week
Less than twice per week
Once per week
I listen to the radio or watch TV:
*
Everyday
Three times per week
Less than twice per week
Once per week
How often do you study:
*
Everyday
More than three times per week
Less than twice per week
Once per week
Do you need quiet to sleep, study or relax?
*
Yes
No
Sometimes
I’m flexible
My roommate should
*
Always ask to borrow or touch my personal items
Never ask to borrow or touch my personal items
Feel free to borrow or touch my personal items anytime
What type of music do you mostly listen to?
*
What items do you plan to bring with you? List the items in the box below.
*
I like the room temperature to be
*
Cold
Moderate
Warm
Hot
I’m a
*
Night person
Morning person
Can hang anytime
Are you willing to abide by ALL Resident Hall and University rules and guidelines, such as curfew, bathroom cleanliness and alcohol & drug policies?
*
Yes
No
Mostly
Is this your first time living in a Residence Hall?
*
Yes (specify which school)
No
Have you submitted your $150 room deposit?
*
(Payment required to secure your room reservation)
I anticipate that my class load will be:
*
Heavy
Moderate
Medium
Light (Just finishing up a few courses to graduate)
Have you been financially cleared?
Yes
No
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