DEMC 2027 HBCU Tour Roommate Request Form

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Detroit Early Middle College | Spring Break 2027 | Nashville & Atlanta. Please submit only ONE form per room. Confirm your choices with your roommates before submitting. Students without a roommate group will be assigned by The Motivational Foundation staff. Rooms accommodate up to four students of the same gender; staff will complete rooms with fewer than four students.

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Your Name * This field is required.Name of Student Completing this form

First Name

Last Name

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Gender* This field is required.

Male

Female

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Do you have preferred roommates? * This field is required.If so, please continue with the rest of the form. If not, scroll to the bottom to submit!

YES!No, I don't have a preference

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Name of Student

First Name

Last Name

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Gender

Male

Female

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Has the above student agreed to be in a room with you?

YESNO

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Name of Student If you do not have a third roommate, leave this blank and click Next.

First Name

Last Name

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Gender

Male

Female

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Has the above student agreed to be in a room with you?Has the above student agreed to be in a room with you?

YESNO

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Name of StudentIf you do not have a fourth roommate, leave this blank and click Next.

First Name

Last Name

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Gender

Male

Female

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Has the above student agreed to be in a room with you?

YESNO

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Please read and check the following statement to indicate your agreement: I acknowledge and agree that each room can accommodate up to 4 students of the same gender. In the event that a room request has fewer than 4 students, additional student(s) will be added by the Motivational Foundation Staff.* This field is required.

I agree to the above statement