Prospective Roommate Information Sheet

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First Name:
Last Name:
Email:
Female Male
Age
Non-Smoker Smoker No preference

$ Rent amount I can pay per month.

I prefer living with:
Female Male No preference

Current Address:

Street

City

State

Zip

Area Code/Phone #

Summer or Home Address:

Street

City

State

Zip

Area Code/Phone #

Self-description, living habits, etc.:

Special interests, hobbies, and/or additional information:

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