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1.
Name
2.
Email Address
3.
Phone Number
4.
Gender
5.
Indicate the dates for which you need a roommate
Monday, February 20
Tuesday, February 21
Wednesday, February 22
Thursday, February 23
Friday, February 24
Saturday, February 25
6.
Are you willing to room with a smoker?
Yes
No
7.
Are you willing to consider a triple?
Yes
No
8.
Are you willing to share a room with someone who snores?
Yes
No
9.
Please list any other rooming information important to you: