New Student Housing Application Fall 2021
Thank you for your interest in saying YES to a greater independence and self-revelation. We are excited to welcome you into our community.
Semester/Term
*
FALL 2021 AND SPRING 2022
FALL 2021 ONLY
SPRING 2022 ONLY
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
*
-
Month
-
Day
Year
Do you have health insurance?
*
Yes
No
Primary Phone Number
*
-
Area Code
Phone Number
Primary Phone Number is a
*
Cell Phone
Home Phone
Gender
*
Female
Male
Prefer Not to Say
Emergency Contact #1 Name
*
First Name
Last Name
Emergency Contact #1 Relation to Student
*
Ex) Mother, Father, Brother, etc.
Emergency Contact #1 Phone Number 1
*
-
Area Code
Phone Number
Emergency Contact #1 Phone Number 2
-
Area Code
Phone Number
Emergency Contact #2 Name
*
First Name
Last Name
Emergency Contact #2 Relation to Student
*
Ex) Mother, Father, Brother, etc.
Emergency Contact #2 Phone Number 1
*
-
Area Code
Phone Number
Emergency Contact #2 Phone Number 2
-
Area Code
Phone Number
Missing Person Contact Name
*
First Name
Last Name
Missing Person Contact Relation to Student
*
Ex) Mother, Father, Brother, etc.
Missing Person Contact Phone Number 1
*
-
Area Code
Phone Number
Missing Person Contact Phone Number 2
-
Area Code
Phone Number
Special Needs: Medical, Disability, Dietary/Allergies, and/or Other Needs
I am a
*
First Time Student
Transfer Student
Total Amount of Credits Accumulated by End of Spring 2021
*
Roommate Preference #1 Name
First Name
Last Name
Roommate Preference #2 Name
First Name
Last Name
Please List your Interests and Hobbies
Intended Major:
I Tend to Be...
1 - Loud/Extroverted
2
3
4
5 - Quiet/Introverted
Choose One
Noise Level Tolerance...
1 - Quiet
2
3
4
5- Loud
Choose One
Please List your Music Style Preferences
Please List the RU Team(s) or Group(s) in which you Plan to Participate
Ex) Greek Life, Athletics, Theater
I Tend to...
Go to Bed Early (10:00 pm - 12:00 am)
Go to Bed Later (1:00 am - 2:00 am)
Wake Up Early (6:00 am - 8:00 am)
Wake Up Later (9:00 am - 11:00 am)
I Clean my Room...
Often
Sometimes
I Rarely Clean
I am...
Comfortable with same gender guests, as long as they respect my belongings and schedule
Uncomfortable with same gender guests that I am unfamiliar with
Comfortable with any same gender guests
Comfortable with opposite gender guests, as long as they respect my belongings and schedule
Uncomfortable with opposite gender guests that I am not familiar with
Uncomfortable with any opposite gender guests
I Share...
Everything
If asked first, I will most likely share
I do not like to share
I Prefer to Study...
In a location other than my room
In my room with no distractions
In my room, but can tolerate some distractions
I would be Interested in an International Roommate
*
Yes
No
Do you give the RU Center for Student Life Permission to Send your Contact Information to your Assigned Roommate to Coordinate your Room Plans?
*
Yes
No
I Agree
What's Next?
Potential residents must complete the Housing Application which indicates your overall interest in living on campus. Fall 2021 Housing Applications for new students open on December 1, 2020 and close on August 1, 2021. Once students are accepted to RU and registered for classes, Residence Life will email students who have completed the Housing Application a Housing Contract. Once our office receives the contract, we will place you in campus housing and communicate your roommate information and housing assignment by Early August.
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