Preference Form

Student ID: *

Last Name: *

First Name: *

Freshmen and Freshmen Transfer Students Residence Halls (For students graduating high school in Spring 2012): :

	1	2
Bergsaker Hall
Solberg Hall

Please rank in order 1-2, with 1 being most desirable and 2 being least desirable.

Upperclassmen and Upperclassmen Transfer Students Residence Halls (For students who graduated high school prior to 2012)::

Please rank in order 1-7, with 1 being most desirable and 7 being least desirable.

Apartments (Please note that Apartments are reserved for 3rd and 4th year students.):

Please rank in order 1-3, with 1 being most desirable and 3 being least desirable (Costello not included).

Costello Apartments (Adult Learner Housing: 1 and 2 Bedroom Apts, Reserved for Families, Married, or Non-Traditional Students):

1 Bedroom

2 Bedroom

Additional Information for Costello Apartments::

I will be a married student, living with my spouse at the time I move in.

I am the custodian of a child I will be living with at the time I move in.

Roommate Name (If Any):

If you would like to live with someone specific, please list the student’s name below. Please note that both you and your

requested roommate must request each other and have Housing Contracts submitted before requests can be honored.

Personal Interests: *

	Yes	No
Are you interested in a Study Abroad experience while at Augustana?
Have you had an international travel or study experience?
Have you been involved in any volunteer service projects in the past year?
Are you interested in joining campus organizations?(Student Government, Programming Board, New Student Orientation, etc.)
Are you interested in being involved in the music program?
Are you interested in being involved in drama or theatre productions?
Will you be participating in intercollegiate athletics at Augustana?
Are you interested in playing Intramural Sports?

Please answer the following questions regarding your personal interests, which may help when pairing you with a roommate.

Roommate Preference Information/I would like to live with someone who: *

	1	2	3	4
Places a high emphasis on spiritual growth and activities.
Has a witty and humorous personality.
Is quiet, reserved and thoughtful.
Is studious.
Does not consume alcoholic beverages.
Does not smoke tobacco products.
Does not chew tobacco products.
Is neat and well organized.
Does not keep late hours (after 11:00 pm on weekdays).
Does not play loud music.
Does not have frequent guests in the room.
Prefers a cool room.
Prefers a warm room.
Does not borrow my personal possessions.
Is interested in being involved in campus organizations(Student Government, Programming Board, New Student Orientation, etc.).
Uses the room for study purposes.
Has an interest in Drama and Theatre.
Has an interest in music.
Is interested in sports.
Is participating in Intercollegiate Athletics at Augustana.

Please select the category for each statement that best represents what you would like to experience in a roommate.

Please rank from 1-4, with 1 being not important to me and 4 very important to me.

Augustana College