This questionnaire is designed to help the housing staff assign students to the most compatible situations possible. All students applying for Lincoln College campus housing will be required to complete this form. This document is only a means to facilitate the assignment procedure.

Please supply the following information concerning housing assignments.

(R) = required.

Personal Information
   
First Name:
Middle Name:
Last Name:
 
Address:
City:
State:
ZIP:
 
Birthdate:
Gender:
 
Phone Number:
xxx-xxx-xxxx
(R) E-mail:
 
High School:
 
Hobbies and Interests:
   
Housing Questionnaire
   
1. I am a:
First-time freshman
Transfer student
   
2. I am a:
Smoker
Non-Smoker
(Note: All residence halls are smoke-free)
   
3. The types of music I listen to are:
Hip-hop Alternative Hard Rock Country
Pop Heavy Metal Classical R&B
   
4. My sleeping patterns are:
Morning Person (early to bed, early to rise)
Night Owl (stay up late, sleep all day)
   
5. My social interaction style is:
Social Butterfly – Center of attention.
Social Reservist – Shy at first, but warm-up when called to duty.
Social Marsupial–Quiet, like to stay in my room.
 
6. Study patterns:

My study patterns require a quiet place to study.
My study patterns require some background noise.
   
7. The condition I like to keep my room is:

As long as I can find my bed, I’m fine.
I generally keep my room pretty clean.
There is a place for everything and everything is in it’s place.
 
8: Please respond to the following:
 
a. I would not mind if my roomate had his/her friend(s) in the room:
More than once a week
Weekends only
Once a month
 
b. The things I bring with me are:
For my use only
For roommate’s use with my permission
For roommate to share without my permission
   
9. If available, I would be interested in living on a quiet study floor:

Yes
No

   
Activities or groups that I participated in High School or other colleges attended were:
   
I would like to share a room/suite with:
   
Residence Hall Preference:
List top three choices in order of preference.
   
MEN
  
*Heritage South Hall (*Additional $700 per semester)
Carroll South Hall
Carroll North Hall
   
WOMEN
  
*Heritage North Hall (*Additional $700 per semester)
*Heritage West Hall (*Additional $700 per semester)
Olin-Sang Hall
Hoyle
   
If you have any additional preferences or concerns pleast list them here:
   
(R) Enter the security code exactly as shown: