Application for January Term Housing Your Information First Name Last Name Email address Current Campus Address (Building & Room) Are you enrolled in J-Term classes? YES NO Are you working on campus over J-Term? YES NO Are you required to be on campus during J-Term for athletics? YES NO Do you have any special housing requests? YES NO Intended date & time of check-in: Thursday 1/1/15 1pm-3pm (designated check-in time) Thursday 1/1/15 but outside of the designated check-in time During the weekend (1/2/15-1/4/15) Monday 1/5/15 or later If you plan to check in outside of the designated check-in time, please indicate when and why: Name of Roommate Requested (please be sure to discuss this with them first!) If you do not have a roommate request above, please complete the following. Please note: WWC students stay in their current rooms and do not have a roommate during J-Term. Normal Sleep Schedule Early Riser Night Owl Both Neither Primary Room Use Studying Socializing Sleeping Preferred Noise Volume in Room Very Quiet/Silent Moderate/Loud Constant/Frequent Low/Moderate Background Noise Infrequent/Intermittent Noise Will you have pets in the room? YES NO Can you live with pets in the room? YES NO If there are limitations, please explain: Cleanliness level of your room Minimal (items frequently left out, clothes may be on floor, etc.) Average (items are picked up every day or two, floor is clear, etc.) High (items are put away immediately, bed is always made, etc.) Submit Leave this field blank
