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Online Housing Application

For First Year, Transfer, and Current Students

Congratulations! The decision to attend college is an important one, and you made a great choice in Mary Baldwin College. We look forward to having you as part of our community!

INSTRUCTIONS

Please provide the information below as completely and accurately as possible to indicate your desire to live on campus during the 2011-2012 academic year.

You will be notified of your housing assignment during the summer, when you will be informed of your hall and room, along with contact information for your future roommate.

If you have any questions, please contact the Office of Student Life at x7221.

* REQUIRED FIELDS

PERSONAL INFORMATION
Last Name: *
First Name: *
Middle Name:
Preferred Name (nickname):
Home Street:
Home City:
Home State:
Home Zip Code:
Birth Date: * / /
Email Address: *
Home Phone: * ( ) -
Cell Phone: ( ) -
AOL Instant Messenger Screen Name:
The best way to contact me over the summer is: *
Please indicate the statement that best describes your situation:
I am a new first year student (never attended MBC or any other college, coming with less than 27 credit hours)
I am a new transfer student (have attended college elsewhere previously and am transferring more than 27 credit hours to MBC)
I am a returning MBC student (have previously attended MBC)
 
HOUSING PREFERENCES
The Office of Residence Life seeks to provide special housing accommodations for students with medical needs where possible.  In order to request consideration for a health related accommodation (physiological or psychological) you must submit documentation by a health care provider (i.e. physician, licensed psychologist, or psychiatrist) stating the need for accommodation (i.e. air conditioned room, single room, etc.).  Requests are reviewed on a case by case basis and evaluated in conjunction with the MBC Health Center professionals.  Every reasonable effort will be made to accommodate documented needs but we do not guarantee that every request will be met.

More information for special housing accommodations can be found on the On Campus Housing Medical Exception Form (MS Word).

Check here if you are requesting special accommodations (include link that provides additional information - perhaps include a form or fax number)

Please briefly describe your needs:

Smoking in the residential living areas is not allowed at MBC.
Do you consider yourself a smoker? *
Are you open to living with a smoker? *
Definitely No Preference Definitely Not
Do you have a roommate you would like to request? *
Roommate's Name:
Roommates must be mutually requested
MORE ABOUT YOU
What is your opinion of the opposite gender guests staying in your room overnight? *
What is your opinion of the same gender guests staying in your room overnight? *
Describe a comfortable flow of visitors in the room: *
I consider myself to be: *
An introvert, quiet, shy, prefer to keep feelings to yourself
An extrovert, outgoing, gregarious, prefer to socialize
Equally extroverted and introverted
I consider myself to be: *
Religious
Spiritual
Neither
What time do you get up in the morning? *
What time do you go to bed? *
Which statement describes your bedroom at home? *
I usually prefer to study *
Please rank the following statements from 1-4 with 1 being the most important to 4 being the least important.
I came to college to ...
study and get good grades so that I can get a good job after graduation.
learn about myself and others.
get involved in the campus and make a difference.
have fun and expand my social life.
Would you be willing to live with an international student?
Yes No
Please describe any hobbies , special interests, particular likes or dislikes, or any information that will be helpful in determining an appropriate roommate.
Please give three adjectives that best describe you.

Please describe in a few sentences what you are looking for in a roommate.
In selecting /accepting a room, I agree to abide by the rules and regulations of my residence hall and of Mary Baldwin College.  I realize that if at any time my room is not filled to capacity, a student(s) may be assigned to fill it.   I realize, I may not move out or have another student move into my room without first receiving permission from the Office of Residence Life.   I understand that Mary Baldwin College has the right to remove me from housing if my conduct is dangerous to me or to other members of Mary Baldwin College community.   I understand that specific housing placement cannot be guaranteed.  I authorize the College to provide my name, address, email address and phone number to my new roommate unless I notify, in writing, the Office of Residence Life otherwise.