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Housing Application Change Request

By entering your name and university ID and submitting this request, you agree to the
following statements. I understand that submitting this request to change my
housing application does not guarantee assignment placement or preference. I
understand that reversal of application change or assignment change once
processed is not guaranteed and requires the submission of a new request.

* Required fields are in bold.

* First name: * Last name:
* USM ID: E-mail:
Home phone: Cell phone:
Application Change Request Beginning
Term:
Roommate Preferences
The following questions do not guarantee compatibility among roommates.
1. I am a nonsmoker. Yes No
No Preference
2. I prefer my roommate to be a non-smoker. (Smoking is not allowed in the buildings.) Yes No
No Preference
3. I prefer my room to be neat and organized. Yes No
No Preference
4. I prefer to study with TV/Radio on. Yes No
No Preference
5. I am an early riser. Yes No
No Preference
6. I am a non-traditional student (age 24 or older). Yes No
No Preference
Specific Roommate Information
If you are requesting a specific roommate, please enter his/her information here.
Requested Roommate's Information
First name:   Last name:
USM ID:
Mutual Request:    Both students must list each other.
Hall Order:    Both students must enter their hall preferences in the same order.
Residence Hall Preferences
This option is for upper-class students only. First-year traditional freshmen are randomly assigned.
Preference Number 1:
Preference Number 2:
Preference Number 3:
Hall or Roommate Priority Preference
Please read carefully before responding.
I want to move to one of my hall preferences regardless of the new roommate that I will be assigned. It is more important for me to be assigned to one of my hall choices.
I want to move to one of my hall preferences but only if with
my mutual roommate. I understand that my roommate and hall
preferences must be mutual or my request is void.
Disability Accommodations
If you are disabled or have a medical condition, please explain your needs
for special accommodations. All requests for special accommodations
must be approved with the office of Disability Accommodations.

(1500 maximum characters)
Additional Comments
Please type any additional comments you may have in the area below:

(1500 maximum characters)