New Students ReservationHalcyon Hall - New Students Reservation Personal Data* First Name Middle Last Name Date of Birth* Date Format: MM slash DD slash YYYY Permanent Address* Complete Address Mobile Number*Email Address* Please select your academic level*FreshmanSophomoreJuniorSeniorGraduate TransferMajor*Select your arrival semesterFallWinterSpringSummerParent or Guardian Contact InformationContact Name*Mobile Number*Email*Secondary ContactContact Name*Mobile Number*Email*Who should receive official correspondence?Emergency ContactContact Name*Relationship to you*Mobile Number*Email*Secondary ContactContact Name*Relationship to you*Mobile Number*Email*Background DetailsWill you be participating in extracurricular activities such as team sports, music groups or student government? If so please specify below.*Background DetailsWhich floor would you like to live on?*(Freshman live on first floor only)Room Preference*SingleDouble(Freshman are eligible for double occupancy only)Do you have a preference for a roommate? If yes, please provide the name below*Room SelectionRoommate Name*Roommate Mobile Number*Roommate Email Address*I consider myself*New ChristianGrowing ChristianSerious ChristianNon-ChristianAtheistHow 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:*EverydayThree times per weekLess than twice per weekOnce per weekI listen to the radio or watch TV:*EverydayThree times per weekLess than twice per weekOnce per weekHow often do you study:*EverydayMore than three times per weekLess than twice per weekOnce per weekDo you need quiet to sleep, study or relax?*YesNoSometimesI’m flexibleMy roommate should*Always ask to borrow or touch my personal itemsNever ask to borrow or touch my personal itemsFeel free to borrow or touch my personal items anytimeWhat 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*ColdModerateWarmHotI’m a*Night personMorning personCan hang anytimeAre you willing to abide by ALL Resident Hall and University rules and guidelines, such as curfew, bathroom cleanliness and alcohol & drug policies?*YesNoMostlyIs this your first time living in a Residence Hall?*Yes (specify which school)NoHave you submitted your $150 room deposit?*(Payment to Student Accounts is required to secure your room reservation.)I anticipate that my class load will be:*HeavyModerateMediumLight (Just finishing up a few courses to graduate)Have you been financially cleared?YesNo
