Roommate Request Form

If you would like to have a roommate who is a new Willamette MBA student, please complete this form and email it to Judy at joneill@willamette.edu by June 25, 2013. We will collect the information and email you a summary of the names, emails and preferences of students seeking a roommate so you can begin to connect with each other.

Our Facebook page is also a great way to talk to your classmates about potential roommate opportunities. If you have not yet joined the incoming student Facebook page, log on and ask to join.

Note: Field Names in Red are Required.

Contact Information

First Name:*
Last Name:*
E-Mail:*
City:*
State:*
Country:*

Living Preferences

Please mark the characteristics that most represent your living preferences. For multi-attribute questions, you can hold the "Ctrl" key and click multiple selections.

Your Gender:*	FemaleMale
Gender of Roommate:*	I prefer a male or female roommateI prefer a male or female roommateI prefer a male roommateI prefer a female roommate
Smoker/Nonsmoker:	I am a non-smokerI am a non-smokerI am a smokerI prefer to live with a non-smokerI prefer to live with a smoker
General Living Arrangements:	Rent cost is most importantRent cost is most importantLocation is most importantWant own roomWant own bathroomWant more than one roommate
Study Environment:	Prefer absolute quietPrefer absolute quietStudy at the libraryStudy late at nightStudy in the morningPrefer to study with the TV/radio/Stereo, etc.
Meal Arrangements:	Share food and expensesShare food and expensesBuy separatelySpecial diet

My submission of this form gives the Atkinson School my permission to distribute information regarding my preferences for a roommate to other Willamette MBA students interested in roommate living and sharing expenses.