Housing Application

Ripon College Housing Application

First Name

Middle Name

Last Name

Mailing Address

Country
Street
City
Region
Postal Code

Birthdate

Gender

Email:

Check One:

Room assignment needed

Request permission to live off-campus

Reason for off-campus request:

I wish to live at home with parents/spouse/child. Proceed to the Parent/Guardian Information section below.

I am requesting to be released from the College's residency requirement (see College Catalog for details) for special circumstances. Please complete all sections of this application.

Class Status

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

Transfer

I plan to enroll in

Fall

Spring

First-Year Students:

Please rank in order your preferred housing options.

First Choice:

Second Choice:

Suites 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.

Substance-free housing:

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

Women only: Please check one of the following if you have a particular building preference.

Tri-dorms

Johnson Hall

Transfer Students:

Please check your preferences (contingent upon availability).

Co-ed Section

Yes

No

Single Room

Yes

No

Single room preference

Single-sized (additional charge per semester)

Double-sized (additional charge per semester)

Upperclass Residence Hall

Yes

No

Which is your most important preference?

Compatibility Preferences:

All new students will have a roommate. To improve the chances for compatible matching, we have found it helpful to have the following information. Please check your responses to the questions below.

I prefer to go to bed between the hours of...

I prefer to wake up between the hours of...

The time of day I prefer to study is:

During the morning

During the afternoon

During the evening

Late at night

Regarding appearance of the room, I prefer it be:

Usually orderly and clean

Sometimes orderly and clean

Disorderly (i.e. no preference)

Do you consider yourself a "day" person (early to bed, few late-night activities)?

Yes

No

Do you smoke?

Yes

No

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

Yes

No

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.

Please list extracurricular activities in which you are involved.

If you have a particular person with whom you would like to room, or you wish to express a preference as to the type of roommate desired, please indicate your wishes.

Parent/Guardian Information:

First Name

Last Name

Home Address

Country
Street
City
Region
Postal Code

Phone Number

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

No

Please describe:

Emergency Contact Other Than Parent/Guardian:

First Name

Last Name

Address

Country
Street
City
Region
Postal Code

Phone Number