Housing Request Form

Personal

First Name:

Middle:

Last Name:

Preferred Name:

Home Address:

City:

State/Province:

Postal Code:

Home Phone:

Date of Birth:

Gender:
Male Female

Academic Status :(based on completed semesters)

Housing & Roommate

All residence halls are smoke free

Male Residence Hall:

Grantham First Floor
Grantham Second Floor
Grantham Third Floor

Female Residence Hall:

Griffin Hall
Hart Hall)
King Hall

Housing Preferences

If you are interested in being placed on the waiting list for the apartments, put the apartments as your first choice. You must live on campus one semester before being eligible to move into the apartments.

First Choice:

Second Choice

Third Choice

Meal Plan:

Meal Plan Preference: If you do not check one that goes with your living status you will automatically be billed for the 20 Meal Plan.

20 Meal Plan
10 Meal Plan (Apartments only)
200 Block Plan
130 Bloc Plan (Apartments only)

Roommate Preferences

If you would like to request another student who has been accepted into housing, please specify below. Both you and the person you wish to live with must indicate that you would like to live together. Due to many factors we cannot guarantee all requests.

First choice

Second choice:

Third Choice

Personal Preferences

The following information is requested in an effort to house compatible individuals together and to fulfill roommate requests. Again we cannot guarantee all requests.

Which do you consider more important?:
Roommate Preference
Room Assignment

Please tell us about any physical disabilities you want us to know about:

Do you smoke?:
Yes
No

Do you object to living with a smoker?:
Yes
No

Height - Are you over 6ft:
Yes
No

What is your average bedtime?:
By 10PM
By 11PM
After Midnight

What is your average wake time?:
By 8AM
By 11AM
After Noon

Neatness:
I'm always neat.
Neat most of the time
Rarely Neat

Roommate Expectations:
Roommate will never use or borrow my things without my permission.
Occasionally use or borrow my things.
Rarely need to seek my permission to use or borrow my things.

Musical Preference:
Alternative
Christian
Classic Rock
Country
Pop
Rap/R&B
Rock Metal

Please tell us about any Mount Olive College extracurricular activities in which you participate:

Other Preferences (check all that apply):
I study best in the quiet.
I study best with music.
I enjoy having friends in my room.
I do not mind if my roommate has friends over.
I am accustomed to sharing space.
I like having everything in its place.
I clean my room only when needed.
I clean my room regularly.
I am excessively neat.
I do not mind sharing my computer with my roommate.
I like taking naps.
I enjoy reading and or watching TV.
I enjoy working out at the gym.
I regularly participate in religious activities.

Sign Your Request

Housing assignments will only be made after the deposit is received ($50.00 for returning students). Mount Olive College reserves the right to cancel/change all housing assignments in the interest of order, health, discipline or other reasons. Students are assigned to housing without regard of their age, color, disability, gender, national origin, race or religion.

I have read and understood the above statement.
Signature:

Email:

Date: