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* 1. Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Gender

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* 5. Indicate the dates for which you need a roommate

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* 6. Are you willing to room with a smoker?

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* 7. Are you willing to consider a triple?

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* 8. Are you willing to share a room with someone who snores?

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* 9. Please list any other rooming information important to you:

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