25%

Name

First Name *

Last Name *

Phone *

Email *

Date of Birth *

Date *

Gender *

Employer *

College *

Major / Intended Field of Study *

Enrollment Status (in fall of 2025) *

Freshman

Sophomore

Junior

Senior

Grad student

Transfer

I prefer to live with... *

Male

Female

Coed

Are you willing to share a room? *

Yes

Room Preferences *

I would prefer to live in a 3 bedroom apartment

I would prefer to live in a 4 bedroom apartment

How important is it to you that your room be kept neat and orderly? *

How important is it to you that your shared apartment space be kept neat and orderly? *

Do you have any allergies? *

How do you typically clean? *

I clean right away

I clean before I go to bed

I wait a few days

I will probably be at my apartment... *

A majority of the time

Gone most evenings, but home most of the day

Gone most of the day, but back home most evenings

I may be gone most weekends

I will hardly be home

When/if you study in your room, will music or activity in the apartment bother you? *

Not at all, I don't mind noise outside of my room

Very much, I require a quiet work enviornment

If there is an issue with my roommates, I prefer it communicated to me *

In person

Via text

By note

How often do you go out/drink? *

3-5 days a week

1-2 days a week

A few times a month

Rarely

Never

Do you mind if your roommate drinks? *

Weekends are okay

Anytime is okay

I would prefer to live with a roommate that does not drink

How often do you smoke?** *

** Please note, Palisade is a non-smoking building. All residential space is smoke-free. This means all private and public spaces in the apartment halls are non-smoking. However, this question is important because of the personal or health issues that some people have living with a person who smokes.

3-5 days a week

1-2 days a week

A few times a month

Rarely

Never

Do you mind if your roommate smokes? *

Weekends are okay

Anytime is okay

I would prefer to live with a roommate that does not smoke

What time do you start your mornings? *

5am or earlier

6am

7am

8am

9am

10am or later

What time do you typically go to sleep on weeknights? *

9pm or earlier

10pm

11pm

12pm

1am

2am or later

How often do you plan to have guests over in your apartment? *

Daily

3-5 times a week

1-2 times a week

Rarely

How often are you comfortable with your roommates have guests over in your apartment? *

Daily

3-5 times a week

1-2 times a week

Rarely

How comfortable will you be with having a roommate’s significant other or friends sleeping over? *

Any additional comments regarding guests? *

Would you describe yourself as... *

How would others describe you? *

Funny

Easy going

Outdoorsy

Athletic

Fashionable

Serious

Artistic

What kinds of music do you like to listen to? *

Pop

Rock

Country

Rap/hiphop

R&B

Jazz

Classical

EDM

Podcasts

Other

What is your favorite sports team? *

What hobbies, clubs or extracurriculars are you a part of? *

Choose your top 3-5 concerns about your future roommates *

Messy living

Not picking up after themselves

Friendliness

Close to my age

Using my things without asking

Parties/friends over too much

Eating my food

Respect for my privacy

Drug use

Significant other over too often

Obnoxious behavior

Bad personal hygiene

Conset *

By signing below, I understand this information may be shared with other residents in search of roommates. I acknowledge that the landlord is not responsible or liable for any claims, damages, or actions of any nature whatsoever relating to, arising out of or connected with disputes between potential or selected roommates. I acknowledge that the landlord strives to accommodate the desired apartment size and roommate preferences, however, the landlord cannot guarantee all preferences be met.

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