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Housing Application
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Ripon College Housing Application
First Name
Middle Name
Last Name
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Birthdate
Birthdate
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Gender
Email:
Check One:
Check One:
Room assignment needed
Request permission to live off-campus
Reason for off-campus request:
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
Class Status
First-Year Student (New student or completed one semester of college)
Transfer
I plan to enroll in
I plan to enroll in
Fall
Spring
First-Year Students:
Please rank in order your preferred housing options.
First Choice:
Double Room
Suite Option
Second Choice:
Double Room
Suite Option
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:
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.
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
Co-ed Section
Yes
No
Single Room
Single Room
Yes
No
Single room preference
Single room preference
Single-sized (additional charge per semester)
Double-sized (additional charge per semester)
Upperclass Residence Hall
Upperclass Residence Hall
Yes
No
Which is your most important preference?
Co-ed selection
Single Room
Upperclass Residence Hall
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:
The time of day I prefer to study is:
During the morning
During the afternoon
During the evening
Late at night
The atmosphere conducive for my studying is:
The atmosphere conducive for my studying is:
In complete silence
With the stereo or TV on
Alone
With others
Outside of the room
Regarding appearance of the room, I prefer it be:
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)?
Do you consider yourself a "day" person (early to bed, few late-night activities)?
Yes
No
Do you smoke?
Do you smoke?
Yes
No
Would you prefer a roommate who seldom or never drinks alcohol?
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
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.)?
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
Address
Country
Street
City
Region
Postal Code
Phone Number
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