Registration - SADI - 2027 - Roommate Assignment Questionnaire

DEADLINE: MAY 1

This form is to be completed by SADI students ONLY.
Parents/Guardians are NOT to complete this form on the student's behalf.

Based on your answers, SADI Program Staff make roommate assignments for the duration of the program. It is imperative that you, as the student, complete your submission to the best of your ability with thoughtful and honest answers.

For specific questions regarding our Residence Halls or living on campus, please contact Rose Apostolakis, Director of Residence Life & Housing, at 215-965-4035 or rapostolakis@moore.edu.

Basic Information

Student Legal First Name *

Student Preferred Name
This name will be listed on your Moore ID card, otherwise legal first name will be used.

Student Last Name *

Student Gender Identity*

Student Sex Assigned at Birth*

Female

Male

Student Pronouns *

Please specify:

Student Birthdate *

Student Email Address *

Student Mobile Phone Number *

May we provide your contact information to your roommate? *
(Includes name, phone number, and email address)

Yes

No

Student Mailing Address *

Country

Street

City

Region

Postal Code

Are you a U.S. Citizen?

Yes

No

About Me

Is this your first time at a sleep-away experience? *

Yes

No

Do you have experience sharing a room? *

Yes

No

To feel my best, I need: *

I consider myself: (select all that apply) *

Introverted

Extroverted

A mix of the two

Other

Please Specfiy:

Academic Major & Interests

What do you do for fun and relaxation? *

What made SADI stand out from other pre-college programs or art classes that you considered for this summer? *

What's your dream job? *

Room Care & Use

I want my room to be... *

My ideal room temperature is... *

I plan to spend most of my free time... *

I would describe my room at home as... *

Sleep Habits

I usually go to bed... *

Please specify:

I usually wake up... *

Please specify:

I am a... *

Roommate Qualities

What qualities are you looking for in a roommate? *

What qualities would you find difficult or challenging in a roommate? *

If there is a specific person who you would like to be your roommate? *

Yes

No

Please indicate their name:
**Please note: this request will only be honored if it is mutually requested by both individuals

Allyship

SADI seeks to provide a safe and supportive environment for LGBTQIA+ students and looks to place them with other students who are allies. Gender-inclusive is defined as being open to all persons of all gender identities and/or gender expression. An ally is defined as a person who is supportive of members of the LGBTQIA+ community.

Would you be an ally to a roommate who identifies as LGBTQIA+?

Yes

No

Summary

Of the topics above, which three (3) items are most important to you for the assignment of a roommate: *

Anti-Discrimination Acknowledgement

Moore College of Art and Design does not discriminate based on a person’s race, creed, disability, sexual orientation, age, marital status or any other protected class. It is the responsibility of each resident to read and be familiar with SADI program policies and College Housing policies as stated in the Housing Contract. These policies are for the benefit of the residents and will be enforced by SADI Program Staff and Residence Life Staff. A copy of the handbook will be provided during Orientation or can be obtained from Student Services.

Yes, I acknowledge that I read and understand the Housing Contract Terms & Conditions and that I agree to abide by all the terms, conditions, policies, and procedures presently in effect or subsequently adopted and published during the term of this contract.

Date *

Signature of Student *
(Please type full legal name)

Signature of Witness (if the student is a minor)