Student Housing Preference Form Spring 2010
The following information will be used to assign rooms and roommates. After submitting this online form, please send the required $300 for returning students; $200 for new students, non-refundable room deposit.
Checks should be made payable to: Washington College.
The mailing address is:
Student Affairs Office
Washington College
300 Washington Avenue
Chestertown, MD 21620
e-mail: residential_life@washcoll.edu
telephone: 1-800-422-1782 x. 7752
Last Name
First Name
Nickname
Date of Birth, mm/dd/yyyy
Gender
Male
Female
Student Address
Street
City
State
Zip
Telephone
Entering Class
Freshman
Sophomore
Junior
Senior
Student's cell phone #
Student's e-mail
Social Security #
High School
Previous college (if applicable)
Name(s) of Parent(s)/Guardian(s)
Parent address if different from above
Street
City
State
Zip
Country
Telephone (C)
Telephone (W)
Student Academic Interest(s)
Student Extra-Curricular Interest(s)
1. Please check one:
I am a local student planning to live off campus
Telephone (H)
Meal plans available for off campus students (ONLY) are
19
14
10
5
0
I plan to live on campus
Meal plans available for on campus students are
19
14
For more information on these meal plans, click here.
2. Please indicate the name of roommate preference (if any)
(Roommate request must be mutual)
3. Would you be more comfortable in: (please rank 1,2,3)
1
2
3
A single-sex residence hall
A coed residence hall (i.e., 1st floor male, 2nd floor female, separate bathrooms)
A coed by floor residence hall (i.e., both genders on the same floor w/ shared bathrooms)
4. Your personal characteristics:
a. When I study, I need...
absolute quiet
background noise
b. I tend to go to bed...
before midnight
midnight - 1 a.m.
after 1 a.m.
c. I keep my room...
very tidy
somewhat tidy
not tidy at all
5. Would you be interested in living with an international student?
Yes
No
6. Please describe any special circumstances or issues that should be considered in making your housing assignment.
Please note that all residence halls are smoke free environments.