Defiance College strives to maintain a positive and encouraging campus environment for all students. Living in a campus residence hall is an integral part of the college experience, and it can serve as an important foundation for academic success and personal growth. Defiance College believes strongly in the value of diversity.

We take very seriously our commitment to provide a positive living/learning environment by matching students with roommates who seem compatible based upon personality, study and social habits, and other general characteristics. We do not discriminate in our housing and roommate matching on the basis of race, sex, religion, ancestry, ethnicity, age, sexual orientation, disabling condition, political affiliation, veteran status or marital status.

Please take a few minutes to complete the Housing Application, and be honest in your responses. Rest assured that your answers will remain confidential. They will only be used by the Residence Life staff to match you with a roommate, and your future roommate will not see your survey results. In addition, please answer these in relation to your intention to live in a Defiance College residence hall, not about your current residence.

Students must sign up to attend an Orientation before they will be placed into housing. Students moving in for Fall Semester that have filled out the Housing Application and signed up for an Orientation by July 1st, will receive their housing assignment via myDC around the middle of July. A second wave of housing assignments will be available the first half of August for students that have filled out the Housing Application and signed up for Orientation by August 1st. If you have any questions or concerns please feel free to contact the Office of Residence Life at: 419-783-2563.

Note: The Office of Residence Life will do its best to accommodate roommate requests but we cannot guarantee all requests due to space and availability. All parties must select each other for a pairing to be made.

All questions with an asterisk ( * ) are required.
Preferences:

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* 1. Please select all that apply to you:

Academics:

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* 2. What is your anticipated major?

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* 3. Do you prefer living with a roommate that has the same or similar major?

Lifestyle :

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* 4. All residence halls are smoke-free, please answer this question regarding smoking:
Do you smoke?

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* 5. All residence halls are smoke-free, please answer this question regarding smoking:
Would you mind living with a smoker?

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* 6. The freshmen residence hall (McReynolds) has an alcohol-free policy, please answer the following question regarding alcohol:
Do you drink?

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* 7. The freshmen residence hall (McReynolds) has an alcohol-free policy, please answer the following question regarding alcohol::
Would you mind living with someone who drinks?

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* 8. Do you expect to host any overnight guests?

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* 9. Are you comfortable with your future roommate having overnight guests?

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* 10. Would you be comfortable living with an international student?

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* 11. Would you be comfortable living with a roommate who identifies as LGBTQ+ (Lesbian, Gay, Bisexual, Transgender, Queer or Questioning)?

Extracurricular:

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* 12. Will you be playing a sport while at Defiance?

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* 13. If yes, in which sport do you plan to participate?

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* 14. Do you prefer living with a roommate who also plays a sport at Defiance?

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* 15. Do you prefer to live with a roommate who participates in the same sport as you at Defiance?

Music:

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* 16. What types of music do you listen to?

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* 17. Are there any types of music you do not like?

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* 18. On a scale of 1-10 where 1 is the lowest and 10 the loudest, at what volume do you listen to your music?

  1 2 3 4 5 6 7 8 9 10
Volume:
Additional Questions:

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* 19. Have you met someone at DC Orientation, college visit or another place with whom you would like to request to live? If so, please indicate their name:

*Please know that the person you request to live with must also request to live with you or your roommate request will not be granted.

Note: The Office of Residence Life will do its best to accommodate roommate requests but we cannot guarantee all requests due to space and availability. All parties must select each other for a pairing to be made. We will not be able to guarantee roommate requests for Fall Semester past July 1st.

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* 20. Are you spiritual/religious?

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* 21. Would you prefer a roommate who is spiritual/religious?

Demographics:

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* 22. First Name:

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* 23. Last Name:

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* 24. Preferred Name (Nickname)

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* 25. Age:

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* 26. What e-mail address may we use to contact you?

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* 27. What phone number may we use to contact you?

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* 28. What semester do you plan to attend Defiance College?

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* 29. Incoming status

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* 30. Have you been accepted into any of the following programs?:

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* 31. Gender:

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* 32. Do you identify as LGBTQ+(Lesbian, Gay, Bisexual, Transgender, Queer or Questioning)?

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* 33. Describe yourself. What activities do you like to do in your spare time (i.e., sports, school clubs, reading, partying, etc...)?

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* 34. What are your top concerns about the habits/activities of your future roommate? Please consider social behaviors, study habits and alternative life styles:

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* 35. Is there anything about your habits and lifestyle we should consider?

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* 36. If you have a physical disability and need special accommodations, please contact our Office of Accessibility Services at 419-783-2366 or visit our website at: www.defiance.edu/pages/AS_home.html for us to better serve your needs.

Do you or anyone in your family need special accommodations that you would like us to take into consideration when placing you in a room (Extra-long mattress, room near a restroom, etc)?:

Vaccination Status Statement:

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* 37. A: MENINGITIS
Meningococcal meningitis is a rare but potentially fatal bacterial infection of the brain and spinal cord.

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* 38. B: HEPATITIS B
Hepatitis B is a serious infection of the liver that can lead to chronic liver disease or cancer of the liver, and can be prevented by a vaccine.

Meal Plan:

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* 39. Select the meal plan that you would like to have:

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* 40. By submitting this form, I acknowledge that the above information is accurate. I acknowledge the Office of Residence Life will use this information to match me with a roommate. I agree:

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