Residence Hall Questionnaire

If you intend to live on campus, please fill out the form below. This information is required before we can make a room assignment.

IMPORTANT: By submitting this questionnaire, you agree to and are bound by UMFK’s Room and Board License. You may review the license terms and conditions in their entirety online, and a link to these terms will be provided for your records upon submission of this form.

Student Information

Legal Name(Required)
Preferred Name
Birth Date(Required)
Street Address(Required)
Are there any specific accessibility accommodations you request for housing?(Required)
(Emotional Support Animal, Elevator Access, Food Plan/Dietary Restrictions, etc.)

Emergency Medical Contact Information

Emergency Contact Name(Required)
Emergency Contact Address(Required)

Parent/Guardian Contact Information

Parent/Guardian Name
Parent/Guardian Address

Emergency Medical Information

If you have any medical conditions or medications you wish to tell us about, please do so in the spaces below.

Additional Background Information

Have you been convicted of a crime in the past 5 years?(Required)
Have you been suspended or expelled from a high school or the international equivalent in the past 5 years?(Required)
Have you ever been suspended or expelled from an institution of higher education or residential housing, including housing affiliated with an institution of higher education?(Required)
Are you under any current court order or other provision that requires supervision, restriction or monitoring or where you have agreed to supervision, restriction or monitoring, such as Protection from Abuse, Protection from Harassment, Sex Offender Registry, or any other such order or provision?(Required)

Information for Roommate Selection

Are you a smoker?
Please be aware that we are a smoke-free campus, and smoking is prohibited in the residence halls and on campus
Have you stayed in our residence halls before?
Would you be interested in a single room for an additional cost of $500 per semester?
Single rooms are not guaranteed, and are based on availability
Would you be interested in bringing your pet to campus?
Only small animals are permitted: cat, hamster, gerbil, bird (depending on the type), or hermit crab(s). All requests for pets are processed separately. If you indicate you are interested in bringing your pet to campus, you will receive an email with more detailed next steps.
The Lodge will have cohabitational housing upon request. Each residence hall has specified quiet hours at night. Quiet hours may vary by building; please check with your Resident Assistant for specific quiet hours in your residence hall. Quiet hours are strictly enforced in all residence halls.

Roommate Matching Criteria

Complete the roommate matching criteria questions. These will help us find you a suitable roommate if we need to assign your housing assignment.
I am a neat and organized person, and I wish to have a roommate who is also neat.
In my free time, I like to engage in sports or other outdoor activities.
In my free time, I like to stay in and watch movies, play games or read.
I am usually a night person and tend to stay up late after midnight.
I am an early riser and like to start my day by 8:00 AM.
I would like my room to be a hub of activity where friends can visit often.
I would like my room to be more private, with a few close friends visiting on occasion.
I am open to living with a roommate who smokes.
I am open to sharing a room with someone who requires an Emotional Support Animal (ESA).

Vehicle Information

Do you plan to bring your vehicle to campus?(Required)

Room and Board

Room: Single rooms are assigned upon availability and are never guaranteed permanent due to changes that may occur during the academic year. Singles are assigned in the following manner: All incoming students, including students entering UMFK residence for the first time, transfers from other schools, or students returning after an absence from the dorm will be assigned a roommate. Priority for single rooms will be given to oldest senior to the youngest freshman.

Once you are assigned a room, you will be billed the price of a double room. At the end of the second week of each semester, charges will be adjusted on your bill if you have any roommate changes.

Board: All residents will be enrolled in our unlimited all-day dining meal plan. This includes unlimited cafeteria access and $150 declining dollars/semester.

Affirmation

This field is for validation purposes and should be left unchanged.