Housing Application

Please note: Room and roommate assignments are made without regard to race, creed, religion, national origin, political beliefs, sexual orientation, disability, veteran status, age, or any other categories protected by the commonwealth of massachusetts and by federal law.

PERSONAL INFORMATION
First: *
Last: *
Address: *
City: *
State: *
Zip: *
Country:
Phone: *
Cell/Alternate:
Email: *
Age:
Gender: * Female Male
To begin in the: Fall Spring
Year:
Status: * First Time, First Year Transfer International
Major:
I will be a: * Freshman
Sophomore
Junior
Senior
Graduate

ROOM PREFERENCES
Hall preferences Hines (Co-Ed; Freshman)
Magna (Co-Ed; Upperclassmen; Graduate)
Pouch (All Female; Freshman / Upperclassmen; Graduate)
Edgewood Complex (Co-Ed; Upperclassmen; Graduate)

ROOMMATE PREFERENCES

The information you include here will help us find you a roommate with similar interests and a lifestyle compatible to yours. You will only be matched with a specific person if you both request each other.

I would like to request a specific roommate(s)
Name: Status: New Student Current Student
Name: Status: New Student Current Student

Do you smoke? (All rooms are nonsmoking) Yes Sometimes Never
Do you object to a roommate who smokes? Yes No
Do you keep your room neat? Yes No
Do you tend to go to sleep before midnight on weekdays? Yes No
I am in the Honors Program (verified by program director) Yes No
I am interested in living with an International Student Yes No
Do you prefer a roommate with similar academic interests Yes No
Will you study in your room? Yes No
I am a recruited or scholarship athlete Yes No
If yes, please list sports:
Music Interests (check all that apply) Rock
Country
Pop / Top 40
R&B
Rap/Hip-Hop
Classical
Alternative
Jazz
Electronic
Other

SPECIAL CONCERNS

Is there anything we forgot to ask you? If there's anything else you think we should consider when assigning your room and roommate, just write it below.



AGREEMENT

Submission of this application constitutes an agreement to abide by all stipulations set forth in the student housing agreement, available here. I also attest that all information I have provided is true and accurate. The college reserves the right to place three students in a double room when more students than expected commit to AIC. Students in this situation will receive financial compensation in the form of a credit.

When you have completely filled out the form, please click Submit. And Welcome to American International College!