Granville Towers Housing Preference Form

Granville Towers Housing Preference Form

Thank you for completing this card in its entirety. The information you provide here will help us make your room assignment. If you wish to room with another Granville Towers applicant or potential resident, please specify in the “roommate/suitemate preference” section. For best results, both parties must complete this section. Requests/Changes will no longer be accepted after July 1, 2012.

Please email all questions to gtroomassignments@gmail.com.

Note: Although we do our best to honor your request(s), please note that these are only your preferences and WE DO NOT GUARANTEE your requests.

Academic Year	*
Lease ID Number (You will receive via email once the signed contract has been returned to GT)	*
PID

CONTACT INFORMATION

First Name	*
Middle Name (If you do not have a middle name then enter "N/A")	*
Last Name	*
Preferred Name
E-Mail Address (Your room assignment will be sent here)	*
Cell Phone #	*
Mailing Address	*
City	*
State	*
Zip Code	*

DEMOGRAPHICS

Gender	*	Male Female
Date of Birth	*
High School	*
Class Standing as of Fall 2011	*
T-Shirt Size	*
Are you currently living at Granville Towers?	*	Yes No

EMERGENCY CONTACT AND MEDICAL INFORMATION

Parent/Legal Guardian First Name	*
Parent/Legal Guardian Last Name	*
Relationship to Student	*
Parent/Legal Guardian E-Mail	*
Parent/Legal Guardian Home Phone	*
Parent/Legal Guardian Mailing Address	*

ROOM PREFERENCES

Residential Living Environment (1st Choice)	*
Residential Living Environment (2nd Choice)	*
Residential Living Environment (3rd Choice)	*
Roommate Preference (First & Middle Name)
Roommate Preference (Last Name)
Suitemate 1 (First & Middle Name)
Suitemate 1 (Last Name)
Suitemate 2 (First & Middle Name)
Suitemate 2 (Last Name)
If your roommate chooses a different living environment preference, which is more important to you?	*
If your suitemate(s) choose a different living environment than you, which is more important to you?	*
Listen to Music	*	On the stereo On the stereo with headphones
Visitors	*	I like frequent visitors I don’t like frequent visitors
Cleanliness	*	Keep the room neat Clean whenever I find the time
Sleeping Preference	*	Stay up late (After 12 am) Go to bed early (Before 12 am)
Waking Preference	*	Wake up late (After 9 am) Wake up early (Before 9 am)
Study Habits	*	Quietly in my room Study in my room with the TV/music on Leave my room to study

ACKNOWLEDGEMENTS

By entering your initials, you acknowledge that you understand Granville Towers does not guarantee that you will receive any or all requests made on the Housing Preference Card.
Student's Initials	*
By entering your initials, you acknowledge that all specific roommate and suitemate request(s) must be mutual and roommate/suitemate(s) names must be accurate.
Student's Initials	*
By entering your initials, you acknowledge that Granville Towers may not honor some request due to limitations of availability as well as local, state, and federal Fair Housing Laws.
Student's Initials	*
After submitting your Housing Preference Form, you may make adjustments and changes up until July 1, 2011 by submitting a new housing preference form. If you have any questions about the housing preference form please email these to gtroomassignments@gmail.com. Your initials acknowledge this statement.
Student's Initials	*
Your initials acknowledge that you understand that Granville Towers may make any adjustments to room, roommate, suitemate assignments at anytime prior to and during the term of the contract agreement.
Student's Initials	*
Please enter your FULL NAME (first, middle, and last) to acknowledge that you have completed this form to the best of your abilities, that the information stated in this form is accurate and true to the extent of your knowledge, and that you acknowledge and understand all statements made in this form.
Student's Full Name (First, Middle, Last)	*
Security Code