Roommate/Suitemate Agreement Form
Roommate/Suitemate relationships are the most fun and the most challenging aspects of living in a residential area. Developing a positive relationship is a process that is not always easy. This worksheet, will help you get to know your Roommate/Suitemate(s) better and develop expectations for living together. As you work on this agreement, be as specific as possible in order to avoid disagreements in the future. After you complete this agreement, your RA will submit it and you will each suitemate a copy. This form is a work in progress, and can be revisited at anytime
What building do the residents live in?
*
Atlantic Hall
Bowditch Hall
Forten Hall
Marsh Hall
Peabody Hall
Are the residents of your room/suite self filling out this roommate agreement? Or is the Resident Assistant facilitating the roommate agreement with your room/suite?
*
Self-Roommate Agreement
Resident Assistant Facilitated Roommate Agreement
Staff Member Completing Roommate/Suitemate Agreement
*
Chose Name (First Name)
Last Name
Staff Member Email
*
example@example.com
Are you completing a Direct Roommate Agreement or a Full Suitemate Agreement?
*
Direct Roommate Agreement
Full Suitemate Agreement (Only for Atlantic and Forten)
What is the Room Number? (For Atlantic and Forten this is the suite number and individual room letter)
*
What is the Suite Number?
*
How many Residents are in your Suite?
*
2
3
4
5
6
Back
Next
Save
Direct Roommates or Suitemates
Roommate/Suitemate 1
*
Chosen Name (First Name)
Last Name
Roommate/Suitemate 1 Email
*
SSU Email
Roommate/Suitemate 2
*
Chosen Name (First Name)
Last Name
Roommate/Suitemate 2 Email
*
SSU Email
Suitemates
Suitemate 3
*
Chosen Name (First Name)
Last Name
Suitemate 3 Email
*
SSU Email
Suitemate 4
*
Chosen Name (First Name)
Last Name
Suitemate 4 Email
*
SSU Email
Suitemate 5
*
Chosen Name (First Name)
Last Name
Suitemate 5 Email
*
SSU Email
Suitemate 6
*
Chosen Name (First Name)
Last Name
Suitemate 6 Email
*
SSU Email
Back
Next
Save
Personal Property
This chart will help you decide what items you would like to share, which items can be used by your roommate/suitemate(s), and which items are for your personal use only. You may add any necessary items in the boxes below (Use N/A only on the column where there is not a resident).
Items that {roommatesuitemate1115} would like to confirm to be shared or not
*
Yes
No
Ask
TV/Video Games
Computer
Clothes
Food
Appliances
Bed
Books
Minifridge
Toiletries (Makeup/Toiletpaper/etc)
Music Player
Any Additional items {roommatesuitemate1115} would like to discuss
*
Put N/A if there is nothing further
Items that {roommatesuitemate2117} would like to confirm to be shared or not
*
Yes
No
Ask
TV/Video Games
Computer
Clothes
Food
Appliances
Bed
Books
Minifridge
Toiletries (Makeup/Toiletpaper/etc)
Music Player
Any Additional items {roommatesuitemate2117} would like to discuss
*
Put N/A if there is nothing further
Suitemates 3-6
Items that {suitemate3116} would like to confirm to be shared or not
*
Yes
No
Ask
TV/Video Games
Computer
Clothes
Food
Appliances
Bed
Books
Minifridge
Toiletries (Makeup/Toiletpaper/etc)
Music Player
Any Additional items {suitemate3116} would like to discuss
*
Put N/A if there is nothing further
Items that {suitemate4} would like to confirm to be shared or not
*
Yes
No
Ask
TV/Video Games
Computer
Clothes
Food
Appliances
Bed
Books
Minifridge
Toiletries (Makeup/Toiletpaper/etc)
Music Player
Any Additional items {suitemate4} would like to discuss
*
Put N/A if there is nothing further
Items that {suitemate5} would like to confirm to be shared or not
*
Yes
No
Ask
TV/Video Games
Computer
Clothes
Food
Appliances
Bed
Books
Minifridge
Toiletries (Makeup/Toiletpaper/etc)
Music Player
Any Additional items {suitemate5} would like to discuss
*
Put N/A if there is nothing further
Items that {suitemate6} would like to confirm to be shared or not
*
Yes
No
Ask
TV/Video Games
Computer
Clothes
Food
Appliances
Bed
Books
Minifridge
Toiletries (Makeup/Toiletpaper/etc)
Music Player
Any Additional items {suitemate6} would like to discuss
*
Put N/A if there is nothing further
Back
Next
Save
Sleeping/Studying in Shared Spaces
At what time do we agree to shut off the lights? (Specify AM or PM or leave blank if you do not wish to have a set time)
Hour Minutes
AM
PM
AM/PM Option
When one resident is sleeping in their individual bedroom, the other residents of the room or suite may NOT:
*
Play Music
Listen to music with headphones
Watch TV
Have guests
Use a hairdryer
Have the lights on
Have a desk lamp on
Other
We wish to have a set time for studying/quiet time within our room or suite.
*
No
Yes (Please write what time)
When one resident is studying in the common area or in their individual bedroom, the other residents of the room or suite may NOT:
*
Play Music
Listen to music with headphones
Watch TV
Have guests
Use a hairdryer
Have the lights on
Have a desk lamp on
Other
Back
Next
Save
Cleaning
This will denote how cleaning will be managed both in individual rooms or by the whole suite.
Our cleaning will include:
*
Cleaning bathrooms once a week (minimum if applicable)
Washing dishes after using them
Taking out the trash and recycling once a week (minimum)
Vacuuming/sweeping once a week (mimimum)
Other
We will keep our common areas:
*
Neat
In Between
Messy
Other
We will clean our common areas:
*
Daily
Weekly
Monthly
As Needed
Other
Back
Next
Save
Guests and Vistiors
Residence Life defines a 'host' as any current residential student who is hosting a guest (see below) or visitor (see below) as the host in all policies listed below. Hosts may not host any more than 2 people at any one time. Hosts must meet their guest(s) at the main entrance of the residence hall and must always remain with them. Hosts must ensure that their guest(s) tap their ClipperCard at the front desk and/or that their guest is signed into the hall by the Desk Receptionists. Hosts are responsible for the actions of their guests at all times and may be held accountable for violations of University policy or criminal action. Lastly, visitation must be agreed upon by all members of the room or suite.
Are overnight guests allowed?
*
Yes
No
Before a roommate/suitemate has an overnight guest, how many days or hours notice will they give their roommate and/or suitemates?
*
How often may a roommate/suitemate have an overnight guest? (Please note the SSU overnight policy below)
*
Overnight Guest Policy
Residence Life defines an 'overnight' as any guest remaining in the residence hall at 3:00am. Any residential student may host overnight guests no more than 3 nights in a 7-day period. Residence Life defines a 7-day period as starting on Tuesday and ending on the following Tuesday. Any residential student may not host a guest for more than 3 consecutive nights. Guests may stay for no more than 3 consecutive nights in any Residence Hall.
Back
Next
Save
Following up with each other
In the case of an argument, we will (fill in the box). Please consider how you have managed past conflicts or misunderstandings. Think about what went well and what may have not gone well in managing these situations.
*
In the case of a violation of this agreement, the following steps will be taken to address the conflict before reaching out a Resident Assistant (fill in the box):
*
Additional items to consider:
Leave blank if there are no additional items to consider
Back
Next
Save
Alcohol and Other Substances
Salem State University is tobacco-free and marijuana-free. The health and safety of students, employees and visitors is a top priority for Salem State University. To promote a safe and healthful work environment, Salem State has adopted new standards to encourage smokers to reduce or eliminate their use of tobacco and to protect non-smokers from exposure to tobacco smoke. There is no smoking, or the use of other related tobacco products, allowed on university property. In regards to marijuana, as a federal funded institution marijuana consumption in an form is prohibited on university property even though marijuana is legal in Massachusetts.
Alcohol Possession/Consumption Guidelines in the Residence Halls
The University expects that all of its students abide by the law and abide by University regulations concerning alcohol use. Students who fail to comply with this policy will be subject to possible disciplinary action for violation of the Alcohol and Drugs Policy here and in the Student Conduct Code.
Who can consume alcohol? Who can bring alcohol into the residence halls?
Those who are over 21 years old may consume alcohol in the residence halls. Only residents are permitted to bring alcohol into the hall they live in. See below for the limit of what individuals may possess at any given time. A room or apartment is considered “wet” if every person assigned to the room, or every person present in the room is at least 21 years old. Consumption of alcohol would be allowed provided students adhere to limitations based on the amount of alcohol present. A room is considered “dry” if any person assigned to the room or present in the room is under 21. Consumption of alcohol would not be permitted by any persons regardless of age.
Where can you consume alcohol?
If you are 21, you may have alcohol in your residential space provided everyone in the space (i.e., room/suite/apartment) is 21 years old or older. Students are permitted to have alcohol in their room/suite/apartment, however if a student under the age of 21 enters a space where alcohol would normally be permitted, that space then becomes a “dry” space. If a 21-year-old student consumes alcohol where underage students are present – the 21-year-old student could face policy violations related to providing to underage persons, or hosting a party. If an underage student is present where 21-year-old students are consuming alcohol, the underage student could face policy violations related to being in the presence of alcohol or for consuming alcohol. Prohibited locations include, but are not limited to: campus buildings, common area lounges, hallways, stairwells, bathrooms, lobbies, parking lots, and outside grounds.
What alcohol can be consumed?
Residents who are 21 years old or older may individually have in their possession no more than the following amounts of alcohol at any time: 72 oz. of beer including wine coolers, hard ciders, twisted teas, and other 12 oz. bottles; OR 750 milliliters of wine; OR 200 milliliters of hard liquor No alcohol stronger than 80 proof is permitted. Limits apply to full, partially full, or empty alcoholic beverage containers.
What about alcohol paraphernalia?
The university prohibits drinking paraphernalia, including but not limited to, drinking funnels, ice luges, and other items that encourage binge drinking. Furthermore, possession of a keg, beerball, and other central sources of alcoholic beverages are not permitted.
Can I host a party?
The maximum number of people allowed in a space at any time is two guests per resident of the room that is present (i.e., in a six (6) person apartment, there can be no more than 18 people present). Large parties are not permitted and students who host parties, with or without alcohol, will be held accountable for any violations.
Am I responsible for my guests?
Yes, any resident who invites a guest onto campus or into their room assumes the responsibility of ensuring that their guest will act in an appropriate manner, as well as abide by all university policies. Should the guest of a Salem State resident violate the alcohol and other drugs policy, the host student will also be subject to disciplinary action.
What other information do I need to know?
The purchase or delivery of alcoholic beverages in the residence halls, gratuitously or for sale, to a person under the age of 21 is prohibited and shall constitute a major infraction of University regulations. Commercial deliveries of alcoholic beverages to the residence halls are prohibited. Empty alcohol containers are considered a health violation and will be subject to possible disciplinary action. All students are asked not to store empty alcohol containers in their rooms, and are expected to dispose of them in the designated recycling or trash areas.
Back
Next
Save
Roommate/Suitemate Signatures
This agreement is made by all members of this room or suite. Our signatures below indicate that we will support the agreements and guidelines we established for our space and that we agree with the alcohol, marijuana, and guest/visitor policies. We will revisit this agreement should it be necessary and revise the agreement when deemed necessary by ourselves or a Residence Life staff member.
{roommatesuitemate1115}
*
{roommatesuitemate2117}
*
{suitemate3116}
*
{suitemate4}
*
{suitemate5}
*
{suitemate6}
*
Save
Submit
Should be Empty: