Lifestyle Questionnaire Step 1 of 3 33% Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Sex*ManWomanGender*ManWomenSelf-IdentifyingOtherPlease identify other gender:*Intended Major*Request for roommate(note, in order to be placed with this person, they must put your name down as well):City*State*Email* Do you smoke?*NoYesI would prefer to live with a...*Non-smokerSmokerSleeping HabitsEarly RiserSleep late in the morningWake up just in time for classI usually retire for the evening by (an average)*Before 10 p.m.10 - 11 p.m.11 p.m. - 12 a.m.After MidnightWhen I study, I need*QuietMusicBackground Noise (tv, talking, etc.)No Preference When listening to music I prefer the voume set*QuietModerateLoudMy house cleaning habits can be described as*Messy is okayRelativey neat, but not clean or orderlyEverything has a placeI consider myself*OutgoingModerately ReservedReserved or QuietWhat type of music do you listen to? (Top 3)*What type of music do you prever not to listen to?Please list any activities you enjoy (sports, hobbies, ect.)*Please list three words that best describe you*Do you have any known allergies or concerns that should be considered when making housing placement?*I have the following pets at homePlease list any additional information about yourself that you think would be helpful when placing you with a roomate Housing OptionsThere are different living opportunities for first year residents. A description of each is below. In the space provided, please rank order your preference of living space from 1 (most preferred) to 6 (least preferred). This order will be taken into consideration when making housing placements however, does not guarantee where a resident will be placed. Themed Living - Gaming Floor (Parks Hall)**12345Themed Living - Gaming Floor - The Gaming Floor community focuses on the common interests of video gaming, other gaming, anima and comics. It will bring together students who want to share these passions with others in a supportive community that helps to establish a healthy balance between the virtual world and real world responsibilities (e.g., academics and personal connections). Residents of this community will live in double rooms and will have the opportunity (not required) to network with the on-campus organization CETC (Contemporary Entertainment and Technology Club). This is an interactive community for those students who enjoy adventure, mystery, and quest and is open to casual and serious gamers alike from all academic disciplines. Along with a variety of programming for residents of this community focused around the theme, at least one larger gaming/adventure like program or opportunity will be offered each semester based on student interest. The Gaming floor is a part of the GPH complex with common area lounge space, computer lab, vending and recreation room.* Grant Hall (GPH)*12345Grant Hall - A quiet living learning community with double rooms on single gendered floors. This is a space for both upperclassman and first year students to enjoy the peace and tranquility that they enjoy, need, or want while they reside in the Thomas College residence halls with extended quiet hours. Grant Hall is a part of the GPH complex with common area lounge space, computer lab, vending and recreation room.*Heath Hall (GPH)*12345Heath Hall - A mixed living learning community that allows first year students and upper classman to reside in a traditional style residence hall. All room in this hall are double occupancy with floors separated by gender. Heath Hall is a part of the GPH complex with common area lounge space, computer lab, vending & recreation room.Parks Floor (GPH)*12345Parks Floor - A mixed living learning community that allow males and females to reside in the same area. This coed split level floor is in the traditional style residence hall and is a part of the GPH complex with common area lounge space, computer lab, vending & recreation room.*Hinman Hall*12345Hinnman Hall - A residence hall specifically for first year students to learn, live, and build a community. This hall has two floors with each floor have 2 identical sides that are single gendered. Each side will have double rooms and a limited number of single rooms, floor lounges, a community computer lounge, vending, and common lounge spaces.* This iframe contains the logic required to handle Ajax powered Gravity Forms.