Monmouth / Admissions / Admitted Students / Living Preference Form

Living Preference Form

We take pride in our hand-matching process. Our goal is to place students with others who either share their interests or their preferences. Students have the opportunity to indicate a preferred roommate. Students who mutually select one another will automatically be housed together as roommates if the paperwork is received prior to May 1. For students who do not indicate a preferred roommate, the Office of Residence Life will hand-match them with students who respond similarly to the questions below.

Once you receive your roommate’s name, address & phone number by mail, we encourage you to make contact before you arrive on campus. You may want to find out a little bit about the person with whom you’ll be sharing your first year at Monmouth College. You can also discuss what each of you plan to bring to the room so that you won’t double up on larger space-stealing items like TVs, refrigerators or microwaves.

 
Personal Data
Your First Name
Your Last Name
Middle Initial
Preferred Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
Cell Phone
Gender Male    Female
Email
Years of College Experience
   
Parent/Guardian First Name
Parent/Guardian Last Name
Same Address as Student
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Email
Home Phone
Cell Phone
Work Phone
Relationship to Student
   
Parent/Guardian First Name
Parent/Guardian Last Name
Same Address as Student
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Email
Home Phone
Cell Phone
Work Phone
Relationship to Student
   
Student Emergency Information
Insurance Company:
Policy Number:
Medical Conditions:
Allergies:
Current Medications
   
All answers are kept confidential. Please check the most appropriate choice for each question.
Do you smoke?
Yes    No
 
Would you be willing to live with a roommate who smokes?
Yes No
 
Would you be interested in living in a substance-free area if one is instituted?
A substance free area is a residence hall setting where students promise to refrain from alcohol and drug use by signing a contract.
 Yes No
 
Do you have a physical/medical condition that requires special placement?
 Yes No

If yes, please describe the condition:

If your answer is yes, you will need to mail or fax a physician’s statement to the Office of Residence Life by June 1 for fall applicants and by December 26 for spring applicants. Fax number: 309-457-2363 Address: Office of Residence Life, Monmouth College, 700 E. Broadway, Monmouth, IL 61462.

Do you have a disability that requires an air-conditioner in your room? If so, for information visit http://www.monm.edu/life/disability-services and fill out the student disability accommodation request form at http://www.monm.edu/Media/Website%20Resources/pdf/student-life/disability-services/registration%20form.pdf.
Are you interested in a specific roommate? That person is:

(Both persons must request each other)
 
For the following questions, please click the answer that best describes you:
Prefer room to be quiet/studious 1   2   3   4  5   See room as lively, social center
 
Will be going home every weekend 1   2   3   4  5 Will be staying on campus

Is it important that your roommate be similar? Yes No
 
Early Riser  1   2   3   4  5 Night Owl

Is it important that your roommate be similar? Yes No
 
Neat  1   2   3   4  5 Untidy

Is it important that your roommate be similar? Yes No
 
Quiet  1   2   3   4  5 Outgoing

Is it important that your roommate be similar? Yes No
 
Select any/all activities you plan to participate in:
Academic Interest:
Is it important that your roommate be similar? Yes No
Leadership Opportunities:  
Is it important that your roommate be similar? Yes No
Music/Theatre
Is it important that your roommate be similar? Yes No
Spiritual/Religious
Is it important that your roommate be similar? Yes No
Fraternities/Sororities
Is it important that your roommate be similar? Yes No
Socializing
Reading
Watching TV
Video Games
Listening to music
Favorite type:
Scrapbooking
Outdoor activities
Running
Weightlifting
Cooking
 
Are you planning on participating in Intercollegiate Athletics? If yes, indicate which sport(s):
Varsity Sports

Is it important that your roommate be similar? Yes No
Intramural Sports
Is it important that your roommate be similar? Yes No
Residence Hall preference:
Please indicate up to four choices, in order of preference.
1st Choice
2nd Choice  
3rd Choice  
4th Choice  
* This residence hall has a premium charge.
Bowers Hall additional $350 per semester
Founders Village additional $350 per semester
McMichael Hall additional $175 per semester
Gracie Peterson Hall additional $300 per semester
North Hall additional $300 per semester
 
My ideal roommate would have the following qualities:
 
Are there particular attitudes or behaviors that make you uncomfortable
 
Any additional information that should be considered in your housing assignment
 
Back to Admitted Students
Living Preference Form