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Housing Intention Form

This form must be completed by ALL students.

Name:
Address:
City:
State:
Zip:
Phone:
E-mail address:
Birthdate
Intended Major

Gender Male 
Female

Attending DWU beginning Spring 2008
Fall 2008
Spring 2009
Fall 2009

I am a New Student
Transfer Student
Returning Student

University Class Level Freshman
Sophomore
Junior
Senior

I WILL be living in the residence halls
I WILL NOT be living on campus because (check all that apply)
I am 21 years of age or older
I am married
I have my dependent child(ren) living with me
I have 94 semester credits
I will be living with my parent(s) or legal guardian
Certain scholarship amounts require on-campus living regardless
of meeting the above criteria.

Residential Students Must Complete This Section

All residential students must be on a meal plan, please select your preference
(if no choice is indicated, you will be charged for the 20 meal plan):

10 meals per week
15 meals per week
20 meals per week

Please answer the following questions to aid
the Director in making your housing assignment.

Have you already arranged for a roommate at DWU?

Yes
No

If so, list the student's name and room number/address here:

Would you prefer a single room, at additional cost, if it is available?

Yes
No

Would you prefer to live on a "quiet" floor/section if it is available?

Yes
No

Preference on location in residence halls:

Hall
Floor
Room
Do you smoke?

Yes
No

If not, do you prefer a roommate who doesn't?

Yes
No

I feel most comfortable in my room when (select one):

it is neat and everything is where it belongs.
it appears to be "lived-in", sometimes cluttered.
it is messy.

What time do you like to go to bed (select one)?

before 10:00 pm.
between 10:00 pm and midnight.
after midnight.

I would classify myself as (select one):

an early riser
a late riser

When I study, I (select one):

require absolute quiet and am easily distracted.
like low background noise or music.
am able to tune out most noise and am not easily distracted.

Generally, I (select one):

follow a schedule and study at the same time each week.
study near the time of a test or when a project is due.
frequently pull all nighters to prepare for a test or meet deadlines.

What hobbies or activities do you enjoy?

What activities do you plan to be involved in at DWU?

List some of your high school activities and honors.

Additional comments, questions or concerns.

 


I agree that the information provided above is true and correct to the best of my knowledge. If I am found to be in violation of the Dakota Wesleyan University Housing Policy, I understand that I will be required to comply with the policy, move back into a residence hall and will be liable for the full semester's residential living costs.


 
 
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1200 W. University Ave
Mitchell, SD 57301
800-333-8506
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Last updated: 12/6/07
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