Ninth Grade Housing Questionnaire

Name*
First Last
Email*
Please select the option that best describes you for each question
Describe your room at home:*
How involved are you in the care of your room?*
I prefer to go to bed:*
I am okay with my room being used as:*
I am from a family where I am:*
I have shared a room at home, a prior school, camp, etc.*
I consider myself to be:*
I’d like to live with someone who identifies as:*
Is it important to you to have a roommate with whom you share a key identity marker? (i.e. religion, geography, race, socio-economic class, etc.)*
Please elaborate on why you answered Very Important.*
Please elaborate on why you answered Important.*
Additional questions:
What are you most looking forward to in having a roommate?*
I would want my roommate to know these three things about me:*
What are two or three things you do when you have an afternoon free?*
Do you have any health concerns or allergies that we should be aware of? (i.e. allergic to peanuts, down comforters, etc.)
What size t-shirt do you wear? (You will get one when you arrive on campus in the fall!)*
Is there anything else you think we/your future roommate should know about you?

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7 Boyden Lane, PO Box 87, Deerfield, MA 01342

NOTICE OF NONDISCRIMINATORY POLICY AS TO STUDENTS: Deerfield Academy admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

Ninth Grade Housing Questionnaire

Please select the option that best describes you for each question

Additional questions: