2022-2023 Residential Life Boarding Roommate Questionnaire

Please complete the following form by June 15, 2022.

First Namerequired

Middle name

Last Namerequired

Preferred name

Grade level for the 2022-2023 school yearrequired

Please check all that apply to you:*

I have never shared a room before at home. I have shared a room with a sibling at home. I have shared a room at camp or other experience.

Please answer the following questions honestly. your responses are important for matching you with a roommate.

Are there any special circumstances we need to consider when assigning a roommate? Please check all that apply.

If any are checked, please explain:

What, if anything, do you anticipate being a challenge for you in moving to boarding school? required

Please list the extracurricular activities you enjoy (please include any special talents or hobbies you have):required

Describe your study habits. Please check all that apply.*

I like to study at a desk. I like to study sitting on my bed. It is better for me to study in the library. I sometimes get up early in the morning to study. I like to stay up late to study.

Describe your sleeping habits. Please check all that apply.*

I go to bed early. I stay up late. I am a light sleeper. I fall asleep with music playing.

Please provide us with any other information you think would be helpful in matching you with a roommate.

Student signaturerequired

Parent signaturerequired