Housing Questionnaire

  • Name * Required
  • Date Format: MM slash DD slash YYYY
  • Gender * Required
  • Permanent Address * Required

  • Housing Plans for Next Semester * Required
    If requesting on-campus housing, please complete the Roommate Questionnaire below.

    Students requesting on-campus housing MUST complete the following questions. Commuter students may skip this section and submit the form.

    To help us best match you with a roommate, please check all that apply.
  • Student Status
  • Are you a smoker?
    Please note that all residence halls are non-smoking as per Brookline Town Ordinance.
  • Would you be willing to live with a smoker
  • I usually study in
  • I usually keep my room
  • I am usually
  • The top three ways I like spend my time are
  • What on-campus activities do you plan to be involved in?
  • What type of relationship do you expect to have with your roommate?
  • Do you have any physical or medical conditions which would affect your housing assignment (i.e. allergies, limitations of mobility, etc.)?
  • *Please note that students who may need a medical accommodation to their housing arrangement should complete the Housing Accommodation Form found at: http://www.pmc.edu/Websites/pmc/Images/health_wellness/HousingAccReq.pdf
  • May we have permission to release your phone number and email address to your roommate?
  • By submitting this form, I acknowledge that the above information is accurate. I acknowledge that the Office of Residence Life will use this information to match me with a roommate. Furthermore, I am aware that Pine Manor College is a substance-free community and a community of respect, and I agree to abide by the policies and standards of the institution.
  • Name * Required
  • Date Format: MM slash DD slash YYYY