The Residence Life Staff is pleased that you have decided to attend The College of Wooster. To help us provide you with a successful living situation, we ask that you carefully read the housing section of our Web site at http://www.wooster.edu/reslife/first-year/.

Then complete the form below and return the signature verification page to the Office of Residence Life by June 1, 2008. This information will help determine your room and roommate assignment. Your application can not be considered until we receive your signature verification page and Hepatitis B/Menomune status form.

General Information
* Required Field

First Name: *

Middle Name: *

Last Name: *

Birthdate: *(mm/dd/yyyy)

Gender: *

Intended Major: *

Class Year: *

Home Phone Number: *

Cell Phone Number:

Height:

Weight:

Chronic Ailment/Disability:

» Chronic Ailment/Disability Form

Religious Affiliation:

Please check here if you plan to live at home with parents or legal guardian and attach the appropriate off-campus request

Special Programs/Options

International Program (Andrews Hall, Co-ed) Description

Images House (Program House, Women) Description

I give permission to have my home telephone number included in the housing letter sent to my roommate(s):
Agree Disagree

Please mark Yes or No for each: *
a) Do you smoke (even occasionally)? Please note that all residential buildings are non-smoking	Yes No

b) Would you object to a roommate who smokes?	Yes No

Please check all that apply: *

I need hours of sleep a night.

I study past midnight.

I study best in quiet.

I study best with music.

I enjoy having friends in my room.

I am accustomed to sharing space.

Room Environment:

I enjoy an open window.

I prefer a warm cozy room.

I can be flexible with room temperature.

I like having everything in place.

I clean my room only when needed.

I clean my room regularly.

I am excessively neat.

Activities & Interests:

I like taking naps.

I enjoy reading.

I enjoy watching TV.

I enjoy working out at the gym.

I enjoy spending time on the computer.

I participate in religious activities.

I will be a varsity team member of

I will be a member of the band or choir
please indicate which one:

Music Interests:

Alternative

Big Band

Blues

Classical

Country

Jazz

New Age

Rap

Reggae

Pop/Top 40

Heavy Metal

Other

Please complete the following statements

Describe your ideal roommate: *

Describe your less than ideal roommate: *

Please note any additional information that you would like us to consider in assigning your roommate(s) including health related issues, interest and concerns:

We will make every effort to meet your housing request, however, space limitations may result in the inability to meet all requests. Once you submit your application, a signature verification page will be displayed. Please print this verification page, sign, and return.

Please read the Campus Housing and Hospitality Services Agreement. All students are held responsible for knowing and understanding this agreement.

Housing Application for New Students

General Information * Required Field

Special Programs/Options

General Information
* Required Field