Housing Application

Student Information

First Name

Preferred Name
Ex: You're Jennifer, but go by Jen

Middle Name

Last Name

Email

Birthdate

Sex assigned at birth

Gender Identity

Student Type
Select one

First-Year Student (New student or completed one semester of college)

Transfer

I plan to enroll in the...

Fall semester

Spring semester

Housing Request

Housing Request
Select one

Room assignment needed

Request permission to live off-campus

Reason for off-campus request
Select one

I wish to live at home with parents/spouse/child.

I am requesting to be released from the College's residency requirement (see College Catalog for details) for special circumstances.

Thank you for submitting your request to live off-campus. The Director of Residence Life will follow-up with you.

Please complete the rest of this form in the event that you do live on campus in the future.

First-Year Students:

All first year students will receive a roommate upon arriving to Ripon College. You will complete a compatibility survey below.

Basic housing information:

Housing assignments become available in July after Summer Orientation.
- This gives students the opportunity to meet potential roommates at orientation.
First year students traditionally live in Scott Hall, Tri-dorms, or Johnson Hall
First year students have the option to select between a double room and suite style room
- Double room: Have one room shared between two students
  - Best for students who enjoy more quiet and privacy with their individual roommate
- Suite style room: Have one central room that often is used as a study and/or lounge area, with two double bedrooms adjoining the central room to accommodate four people
  - Best for students who enjoy being more social and having more connections

Would you prefer to live in a Double Room or a Suite Style Room?

Women only - Building preference
Select one

Tri-dorms

Johnson Hall

Do you require any special accommodations for living on campus?
Ex: I use a wheelchair and will require a building which provides accessibility options.

Although we cannot guarantee all requests and preferences, we will do out best to provide you with a comfortable living situation, and any information you provide will be helpful. If you have special needs as it related to mobility, identity, or anything that may warrant unique consideration, please send a statement of explanation to reslife@ripon.edu or contact the Residential Life office at 920-748-8186.

Transfer Students

Please check your preferences (contingent upon availability):

Co-ed Section

Yes

Single Room

Yes

Single room preference

Single-sized (additional charge per semester)

Double-sized (additional charge per semester)

Upperclass Residence Hall

Yes

Which is your most important preference?
Select one

Co-ed selection

Single Room

Upperclass Residence Hall

Do you require any special accommodations for living on campus?
Ex: I use a wheelchair and will require a building which provides accessibility options.

Specific Roommate Request

Do you have a specific roommate you'd like to live with?

Yes

Who is your specific roommate request?
Your specific roommate must also put your name on their housing form for you to be housed together.

What would your ideal roommate be like if you could describe them in a few words?
Ex: Tidy, night owl, who doesn't mind studying while watching TV and coffee breaks together

Roommate Compatibility and Personality Survey

Please answer the following questions to help determine your compatible with potential roommate matches:

I prefer to go to bed between the hours of...
Ex: 10:00 p.m. - 11:30 p.m.

I prefer to wake up between the hours of...
Ex: 7:00 a.m. - 9:00 a.m.

Do you consider yourself a "day" or "night" person?

Day person

Night person

The time of day I prefer to study is:
Select up to two

During the morning

During the afternoon

During the evening

Late at night

The atmosphere conducive for my studying is...
Select up to two

Regarding appearance of the room, I prefer it be...
Select one

Usually orderly and clean

Sometimes orderly and clean

Disorderly (i.e. no preference)

Do you consider yourself more of an introvert or extrovert?
Select one

Introvert

Extrovert

Do you prefer a roommate who is introverted or extroverted?
Select one

Introverted roommate

Extroverted roommate

What does your ideal Saturday look like?
Select all that apply

What other things would you do on an ideal Saturday?

Activities

Please list other extracurricular activities in which you are involved

Questions about substances for students over 21 years old

To purchase cigarettes or alcohol in the state of Wisconsin, you are required to be at least 21 years old. Ripon College enforces state and federal laws regarding these substances.

Would you prefer a roommate who seldom or never drinks alcohol?

Yes

Do you smoke?

Yes

Substance-free housing
Check here if you would like to be considered for substance-free housing

I would like to be considered for substance-free housing

Medical History

Have you ever been under continuing medical treatment for a physical or emotional condition or disability (epilepsy, eating disorder, chemical dependency, depression, etc.)?

Yes

Please describe:

Parent/Guardian Emergency Contact Information

Please list one parent/guardian as your primary emergency contact.
The College will contact this person first in the event of an emergency situation.

First Name

Last Name

Home Address

Country

Street

City

Region

Postal Code

Phone Number

Emergency Contact Other Than Parent/Guardian

Please list one non-parent/guardian as a back-up emergency contact.
This could be another member of your family, a trusted family friend who lives close to campus, etc. Please do not list siblings unless than are older than you.

First Name

Last Name

Address

Country

Street

City

Region

Postal Code

Phone Number