Roommate Connection

Resident Information

Name: *

Nickname:

Home Address:

City:

State:

ZIP:

Gender: *

Female Male

Date of Birth (day/month/year):

Current Address:

City:

State:

ZIP:

Email: *

Home/Cell:

Year in School for 11-12:

Freshman Transfer Other

Student ID Number:

Which Campus Connect Private Residence Hall will you be living in? *

Lucky101 Regent101

Emergency Contact Information #1

Name:

Relationship to you:

Address:

City:

State:

ZIP:

Phone Day:

Phone Night:

Emergency Contact Information #2

Name:

Relationship to you:

Address:

City:

State:

ZIP:

Phone Day:

Phone Night:

Do You Already Have a Roommate? (choose one)

NO

We will provide roommate matching for you. Please continue to complete this form.

PARTIALLY

If you already know one or two of the people you want to room with, but still want to be matched into a larger group, please list their first and last names below. Everyone in your group must have the same names listed on their forms and you must all complete this entire form.

Roommate Names

YES

If you have already chosen roommates please list their first and last name(s) below. Please note everyone in your group must have the same names listed on their form. You do not need to complete the rest of this form.

Roommate Names

I'M LIVING ALONE

If you are living in a Premium Single, you do not need to complete the rest of this form.

Personal Infomation

Parents should not complete this information, it must be completed by the resident. Please note Campus Connect does not sell or share this information with any one. Only the team that makes the matches will see it.

1. Where do you expect to do most of your studying?   

2. When do you expect to do most of your studying?   

3. Does low background noise or light music bother you while you're studying?   

4. Do you smoke?*   

5. What time do you usually go to bed?   

6. What time do you usually wake up?   

7. Are you a light sleeper?   

8. Can you fall asleep easily if woken up?   

9. Do you snore or talk in your sleep?   

10. Do you like "white noise" while falling asleep?   

11. What kinds of TV shows do you like?   

12. What styles of music do you like?   

13. Name, city and state of high school you attended:

14. Do you want to be matched with someone from your high school?   

15. Which word best describes your personality?   

16. Which word best describes your housekeeping style?   

17. Which word best describes your preferred living environment?   

18. How do you feel about overnight guests?   

19. How do you feel about alcohol use?*   

20. How much do you think you'll be home?   

21. How important is private time?   

22. How involved do you plan to be with Greek organizations?   

23. Are you a UW-athlete?   

24. What are your three favorite things to do?

Please check all of your interests:   

Please describe your ideal roommate:

Anything you would want your future roommate to know? Anything for us?

Are you open to having a Resident Assistant as a suitemate?   Yes No

Being part of a Residence Life Program is an important part of the college experience. As a resident of Campus Connect you will experience a wide variety of living and learning opportunities designed to encourage your involvement in social, intellectual, recreational, and cultural activities. Understanding group needs and being aware of the rights and feelings of other individuals are critical components of any community living experience. Lifestyle and behavior patterns vary widely, and the community you've chosen will invariably include individuals from different backgrounds that help shape personal perspectives and individual expectations. We hope all of our residents get involved in learning experiences outside of the classroom, and we encourage residents to take responsibility for making life at your new home meaningful and rewarding.

* Campus Connect is chemical free. We ask these questions to help facilitate matches that go beyond the scope of the physical property roommates share.