Housing Intention Form This form must be completed by all students whether staying on or off campus. Have you been accepted to Dakota Wesleyan? Yes No First Name Last Name Mailing Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Zip Phone Number Email Current age Gender M F Attending DWU beginning Spring 2017 Fall 2017 I am a New student Transfer student Intended major University class level Freshman Sophomore Junior Senior GPA range Below 2.0 2.0-2.5 2.5-3.0 3.0-3.25 3.25-3.5 3.5-4.0 I will be living in the residence halls not be living on campus because I meet the following exemption: (check all that apply) I am 21 years of age or older I am married I have my dependent child living with me I will be living with my parent(s) or legal guardian within 40 miles of Mitchell I do not meet any of these requirements and would like to appeal the housing requirement. Certain scholarship amounts require on-campus living regardless of meeting the above criteria. Students living off campus can stop here and submit the form. Have you already arranged for a roommate at DWU? Yes No If so, please list their name Will you be a DWU athlete? Yes No If so, what sport? Would you like to live with someone in the same sport? Yes No I would like to go to bed Before 10 p.m. Between 10 p.m. and midnight after midnight I would classify myself as A morning person A night owl Generally, I follow a schedule and stay on top of my academics study near the time of a test or when a project is due I procrastinate and pull all nighters to prepare for a test or meet deadlines How often would you like visitors in your room? All the time Often Occasionally Socializing should take place elsewhere You expect your room to look Neat and tidy Lived in Messy What genre of music do you enjoy? Everything Country Rap Hip hop Classical Rock Hard rock Alternative Top hits Really do not care Prefer silence Please check all the things that describe your personality and interests Outgoing Laid back Shy Responsible Funny Class clown High achiever High moral standards Go to church regularly Talkative Use tobacco Like to party Never party Smart/nerdy Extremely nice Creative Like to read Competitive Sports nut Theatre Choir Band Leadership Community service Campus ministry Heavily involved in high school Outdoors (fish & hunt) Please describe what your ideal roommate would and would not be like All residential students must be on a meal plan, please select your preference. This can be changed after school begins. 10 meals a week 15 meals a week 19 meals a week Preferred T-shirt size Small Medium Large XL XXL XXXL Comments/Special Requests I certify that the information provided above is true and correct to the best of my knowledge. If I am found to be in violation of the Dakota Wesleyan University Housing Policy, I understand that I will be required to comply with the policy, move back into a residence hall and will be liable for the full semester's residential living costs. I accept the above terms Yes Submit This field is intended to catch out spammers - please leave it blank.