Javelina Station
Roommate Matching Application


Fill in the form below and click submit when finished.

ABOUT YOU
Last Name
First Name
Middle Name
Preferred Name
Date of Birth
Gender



Marital Status



CONTACT INFORMATION
Street Address 1
Street Address 2
City
State
Zip
Home Phone
Other Phone
Email Address
SCHOOL INFORMATION
Type of Student




Semester you are applying for
Major
College Classification






PREFERENCES - Please answer the following questions and indicate preferences to aid in identifying an appropriate roommate.
MUSIC
Music/TV Volume Loud
Soft
Preferred Music R&B
Reggae
Alternative
Country
Contemporary Christian
I dislike listening to
SLEEPING HABITS
On a typical school night - I go to bed by

10 pm
12 midnight
2 am or later
On a typical morning - I prefer to wake by 7 am
9 am
11 am or later
STUDY HABITS
I study at home Often
Sometimes
Rarely
I prefer to study 7 am to noon
12 pm to 6 pm
6 pm to midnight
TIDINESS
The following description best describes my organizational habits Extremely Neat & Organized Neat & Organized
Fairly Clean
Messy & Unorganized
I make my bed Everyday Once a Week
Once a Month
SMOKING PREFERENCES-All buildings are non-smoking facilities; smoking is prohibited inside the apartments, clubhouse and offices. There are designated smoking areas outside.
I am a



I prefer to live with a



OTHER
Do you plan to have a vehicle on campus



Are you in a sorority or fraternity



Are you active in or being recruited for intercollegiate athletics



If yes, what sport
Please list interests, activities and hobbies (include athletic participation)
Please list special needs that would require special housing consideration
Please list any roommate requests
Please provide any additional comments
AUTHORIZATION AND RELEASE
The information you provided will only be used for the sole purpose of matching you with your ideal roommate. Javelina Station cannot ensure the validity of the information students provide on this form. Furthermore, Javelina Station cannot promise that the roommate(s) assigned to you will match all of the criteria you selected. By checking Accept  below, you authorize us to release your contact information to potential roommates who have the same or similar preferences. The release of this information will allow potential roommates to talk and meet one another prior to move-in.
Acceptance



Date
Full Name