Student Housing Questionnaire

Please complete the following set of questions to assist our office in making housing and roommate assignments for the upcoming academic year. Housing assignments are determined by the date you pay your deposit to the university. If you have additional questions about residence life, please do not hesitate to contact the director of residence life at 419-358-3247 or by email at studentlife@bluffton.edu.


* Required information
Full Name : *
Gender: *
Preferred Name: *
Email (If you do not have one, please write no email in the box): *
Street address: *
City/State/Zip: *
Home phone: *
Cell phone: *
May we share your email and cell phone with a prospective roommate? *
Intended major(s):
Hall Preference : *
Hall Preference : *
Please note that by choosing Neufeld or Ramseyer Hall, you are agreeing to a $200/yr. air conditioning fee.
I am a: *
Roommate Preference (optional): *
Requests will be honored if space allows AND if both roommates list the same preference.
Smoker: *
Would you be willing to live with a smoker? *
Please share with our office any special housing needs you may have: *
What on-campus activities do you plan to be involved in? (Check out our Web site for more info):
 Varsity Athletics
 Academic/Major Related Clubs (Art Club/Baumen Medical Society)
 Campus Ministries (Fellowship of Christian Athletes/Shining Through)
 Special Interest Groups (International Connection/Marbeck Center Board)
 Performance groups (Improv Club/Theater Productions/Music groups)
If you listed varsity athletics as something you'll be participating in, please check which sport you will be participating in:
 Baseball
 Soccer
  Basketball
 Softball
  Cross Country
 Track
  Football
 Volleyball
Lifestyle Preferences:
What Kind of relationship do you want with your roommate? *
How do you feel about your roommate using your belongings? *
How often do you clean your room? *
When do you anticipate your day beginning during the school year? *
When do you anticipate your day end? *
What kind of sleeper are you? *
How social do you prefer your room to be? *
If 1=quiet and reserved and 10=very outgoing, where would you place yourself? *
I plan to have overnight guests: *
When studying: *
How much do you anticipate having to study? *
How much television do you watch? *
What 3 types of music do you listen to and enjoy most?
 Alternative
 Classical
 Dance/Techno
 Indie Rock
 New Age
 Punk
 Rock
  Blues
 Country
 Folk
 Jazz
 Opera
 R&B
  Broadway/Showtunes
 Christian
 Gospel
 Latin
 Pop/Top 40
 Rap Reggae
What is the most important thing to you regarding your living space? For example, your roommate, that you're able to study effectively, the specific location of your room (residence hall and floor), that there's always something happening, etc: *
By submitting this form, I acknowledge that the above information is accurate. I acknowledge the office of residence life will use this information in matching me with a roommate. Further, I am also aware that Bluffton University is a substance free community and a community of respect and I agree to abide by the university's campus standards.
I agree: *