Residence Hall Contract
Saint Vincent College
Residence Life Office
(724) 805-2564
email: [email protected]
Please print.
SECTION I: PERSONAL INFORMATION
Last Name: ____________________________________________
Birthdate: __________________________ Age: _________________
First Name: ___________________________ Middle Initial: _____
Gender: ____ M ____ F ID #: __________________________
Address: _______________________________________________
Home Phone: __________________ Cell Phone: __________________
City: __________________________________________________
Select one: ____ Freshman ____ Transfer
State: ___________________________ Zip Code: _____________
SECTION II: EMERGENCY CONTACTS
Email Address: __________________________________________
Meal Plan Circle One
15 Meals per week
19 Meals per week
Name of Parent/Guardian: ________________________________
Other Contact Person: _______________________________________
Address: _______________________________________________
Address: __________________________________________________
City: __________________________________________________
City: _____________________________________________________
State: ___________________________ Zip Code: _____________
State: ___________________________ Zip Code: ________________
Phone: ____________________ Cell Phone: __________________
Phone: ____________________ Cell Phone: _____________________
SECTION III: HOUSING
Residence Hall Contract:
The Residence Hall Contract should be read and understood by the student (and parent/legal guardian if the student is under 18) before signing below.
Questions can be directed to the Residence Life Office at (724) 805-2564. The section below must be signed before a room assignment will be made.
I have read the CONTRACT which is for a FULL ACADEMIC YEAR (i.e., for both fall AND spring semesters, unless granted special permission) and
agree to accept and abide by its terms and conditions. I UNDERSTAND THAT I AM FINANCIALLY OBLIGATED FOR BOTH SEMESTERS.
Student's Signature: __________________________________________________
Date: _______________
Co-signature: ________________________________________________________
(Required of parent or guardian if applicant is under 18 years of age)
Date: _______________
Return this Contract and the Roommate Matching Questionnaire to:
Admission and Financial Aid, Saint Vincent College, 300 Fraser Purchase Road, Latrobe, PA 15650
Assignments will not be made until a signed application and deposit are received.
Freshmen assignments will be made beginning May 1, on a first-come, first served basis. Notifications of assignments are made in July.
Transfer assignments will be made beginning July 1, on a first-come, first-served basis. Transfer housing is not guaranteed.
FOR OFFICE USE:
Deposit Received: ___________________________________________
Student ID #: ___________________________________________
Contract Received: __________________________________________
Residence Hall: ______________________ Room: ____________
Roommate Matching
Questionnaire
Saint Vincent College
Residence Life Office
(724) 805-2564
email: [email protected]
Please print. Complete and return in the enclosed Business Reply Envelope.
Last Name: ____________________________________________
Birthdate: __________________________ Age: _________________
First Name: ___________________________ Middle Initial: _____
Gender: ____ M ____ F
Address: _______________________________________________
Intended Major: _____________________________________________
City: __________________________________ State: ___________
Home Phone: __________________ Cell Phone: __________________
Email Address: __________________________________________
Select one or more: ____ Freshman ____ Transfer
High School: _______________________
SECTION I: REQUEST A SPECIFIC ROOMMATE
______
______
I would like to request to live with the following person (requests must be mutual): _________________________________________________
I am playing intercollegiate athletics and my coach has assigned a roommate for me. Sport: ________________________________________
SECTION II: PREFERENCES AND NEEDS
______
______
______
I am a non-smoker and prefer to live with someone who does not smoke. (Smoking is not permitted in any SVC housing.)
I would like to live with someone from a (circle one or more): ____ different high school ____ different state ____ different country
I have a medical, physical, and/or mental health condition that requires special housing accommodations. Provide details on back of this page.
SECTION III: LIFESTYLE INFORMATION
Please darken the circle on the continuum that best indicates how this characteristic applies to you in the College environment. Remember, the structure
of the college setting may require/allow you to function differently than you do in your current home environment. Think carefully and be honest. The
center circle indicates “no preference.” Place a star ( * ) by the characteristics that are most important to you in selecting your roommate.
Stay up late on weeknights
Don’t mind noise while studying
Keep my space neat & tidy
Like the room temperature toasty
Have lots of friends over all the time
Practically live my life on-line
Easy-going and laid back
Life of the party and very social
Extremely conservative
Religion very important in my life
Talk on the phone constantly
TV junkie, set on all the time
Music is my constant companion
Weekends are for relaxing
Study in the room constantly
Have a significant other who will visit
Prefer to spend time alone
Health and fitness are very important
Prefer to spend time outdoors
Sports fanatic
Happy to lend and eager to borrow
Want roommate with same major
Want my roommate to be just like me
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Get up early on weekdays
Like quiet while studying
Prefer the lived-in look
Like the room temperature cool
Have few visitors at limited times
Use the computer only when necessary
Serious and matter of fact
Shy and reserved
Extremely liberal
Religion minimally important in my life
Talk on the phone once a day or less
Rarely watch TV, maybe a favorite weekly show
Sometimes listen to music
Weekends are for studying
Study in the library or other secluded space
Have no significant other
Constant company is great
Couch potato and junk food junkie
Prefer to spend time indoors
No interest in sports
Hands off each other’s things
Want roommate with different major
Roommate differences are very important