| Roommate Interest Form for Fall 2009 |
| [ back ] If you would like to have a roommate who is a new Willamette MBA student, please complete this form and fax it to Judy O'Neill at 503-370-3011 or email it to Judy at joneill@willamette.edu by June 26. 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. CONTACT INFORMATION Last Name: Current Address: CITY, STATE, ZIP (COUNTRY): TELEPHONE
(DAY): EMAIL ADDRESS:
On-Campus or Off-Campus Smoker/Non-Smoker General Living Arrangements Study
Environment Meal Arrangements
Signature__________________________________________________________ Date_____________________
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