Roommate Request

1

What is your name?* This field is required.

First Name

Last Name

2

What is your Y#:* This field is required.It's located on your Student ID and also listed under your name when you log in!

3

What is your YC scholar email address?* This field is required.Your email address is your YC username@scholar.yc.edu

example@example.com

4

What is your resident status?

I'm a current residentNo

5

When are you interested in changing roommates?* This field is required.

I'm requesting a new roommate for the CURRENT semester

I'm requesting a new roommate for NEXT semester

6

Please select ALL options that best describe the reason(s) for your roommate change request:If none of these statements apply, please select "other" and provide an explanation.

My roommate and I have different schedules and my sleep and ability to study are impacted.

My roommate and I have different cleanliness habits.

My roommate and I have different personalities and are not connecting.

My roommate and I do not agree on having visitors and overnight guests in the room.

7

Roommate Request Guidelines

1. Both residents involved in a roommate change must provide consent and approval by individually completing this Roommate Request form.

2. Depending on the circumstances of the request, Residence Life may require that all involved residents meet with staff for roommate mediation.

3. Residence Life staff will inspect the condition of the requestor's current room(s) in order to assess potential damage acquired during occupancy. Damage charges may be applied to the requestors account at this time.

4. The conduct history of all requesting parties will be reviewed.

5. The Office of Residence Life will review the Roommate Request and notify requestor(s) upon approval.

Do not move until you have recieved official approval. Moving prior to department approval is a conduct violation.

Roommate Requests will not be considered until pending damages charges are paid in full. Unpaid damages charges will result in an official account HOLD, prohibiting students from registering for future classes. If you are charged for damages, it is your responsibiity you communicate to the to Residence Life once those charges are paid.

While most requests are approved, the Office of Residence Life reserves the right to assign any vacancy based upon the needs of the residential community and may therefore decline a request.

8

Roommate Request Guidelines

Both residents involved in a roommate change must provide consent and approval by individually completing this Roommate Request form.

While most requests are approved, the Office of Residence Life reserves the right to assign any vacancy based upon the needs of the residential community and may therefore decline a request.

If you would like to follow up on the status of your roommate request, please contact the Office of Residence Life at 928.776.2220

9

Please check:* This field is required.

10

Are you a Student Athlete?* This field is required.

YESNO

11

What team are you on?

12

Do you have a specific resident that you would like to room with?

YES, I have a specific resident in mindNO, I just don't want to live with my current roommate

13

Please provide the name of the resident you are requesting as a roommate:

First Name

Last Name

14

Tell us more about why you would like to live with this roommate:Please provide a detailed explanation.

0/500

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Thank you for properly completing your Roommate Request. Once you click "Submit", you will be redirected to a page where you can schedule a time with Residence Life Staff to inspect the condition of your current room.