Roommate Matching Application

First Name:*

Last Name:*

SSN:*

Email:*

When would you like to move in:*

Cell Phone:* (xxx-xxx-xxxx)

Address:*

City:*

State:* Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:*

Student status:* Select Status Local Student Out of state student International student

Will you play sport for UMB?* This is a required field.

Age:*

Gender:* This is a required field.

Couple:* This is a required field.

Year in School:* Select Year 1st Year 2nd Year 3rd Year 4th Year Grad Student

Major:*

Are you looking for place or do you have a place?* This is a required field.

Do you smoke?* This is a required field.

Willing to live with smoker?* This is a required field.

Having clean living space is important?* All the time Most of the time Sometimes Rarely Never

Study Habits:* This is a required field.

Sleep Pattern: * This is a required field.

Typically has overnight guest:* This is a required field.

Personality Traits: (quiet vs. loud, shy vs. outgoing, etc.,)*

Lifestyle: (drinker vs. non-drinker for [21+], going out vs. staying in, etc.,)*

Would you like to live with a friend: (must be a UMB student to go through OSH)* This is a required field.

If yes, what is your friend's full name:

Hobbies/Interests:*

What housing option would you like:* Select Option Harbor Point Peninsula Archstone Quincy Ohter

If other, please specify:

I would like to live in: (select all that applicable)* This is a required field.

Max.Monthly rent including utilities: (Minimum rent will be $650)*

Other important information you feel should be taken into consideration regarding roommate matching (i.e. television usage, socializing, noise considerations, etc.,):

The Office of Student Housing has permission to release this information reported on this page to students with similar preferences from their roommate matching surveys.* This is a required field.

Would you like to receive emails about activities and outings?* This is a required field.