UF4

University of Florida Medical Student Totally Unofficial Roommate Form

Please fill out this form and print it.
Send the printed copy to the following address:

Scott Howard
2043 Apple Tree Street, Apt. 2
Philadelphia, PA 19103

Once this information is received, I will post your information on the web in an attempt to help you find a roommate!

Part 1:

General Information

Please provide the following contact information(* is required):

Name*
Undergraduate School*
Street address*
Address (cont.)
City*
State/Province*
Zip/Postal code*
Country
Phone
FAX
E-mail

Please identify and describe yourself:

Age
Sex	Male Female

Race and Orientation (Optional):
White/Anglo
African-American
Hispanic
Asian
Native American
Mid Eastern

Heterosexual
Homosexual
Bi-Sexual
Drinking:
Never
Sometimes
All The Time
Smoking:
Never
Smoke Outside Only
When Drinking
Inside
Neatness Profile:
Super Neat
Neat
Occasionally Messy but Generally Neat
Pretty Messy Sometimes
A Slob
Party Profile:
I am a quiet person/I don't go out much
I like to party after exams
I party every weekend
I like to party every night
What are your hobbies ?
What kind of music do you like ?
Do you have pets ?:
Type of Pet.

Part 2: Roommate Profile -	Select your perfect	roommate!
NOTE: The more choices	you pick allows you	more potential	roommate matches.
Orientation and Gender:	Don't Care/All Straight Male Straight Female Gay Male Lesbian Female Bi-sexual Male Bi-sexual Female	Race:	Don't Care/All White/Anglo African-American Hispanic Native American Mid Eastern
Drinking:	Never Sometimes	Smoking:	Never Outdoor Only Indoor
Pets:	None At All Outdoor Only Indoor	Study Habits:	Alone Group Library
My roommate should be:	A Friend A Roommate

Part 3: Apartment Information-	Do you already have a place? If not, what types of amenities do you desire?
	NOTE: Select the items you need or really want only.

I have a place....	(described below)
I am looking for a roommate with a place...
I want to look for a place together...

Amenities my property has:	or what I think I would like...

Special Access Gated Property/Security Dish Washer Microwave Large Kitchen Air Conditioning Great Views Nice Views Nothing to write home about Private Bathroom Large Closets Storage Fireplace	Laundry in apartment. Laundry in building Laundry nearby Pool Spa/Jacuzzi Gym/Weight Room Tennis Computer Facilities Rec Room Parking Covered Parking/Garage Private Yard
The property is a:	House Apartment Other
Is there also a living room?	Yes No
The living area:	Unfurnished (Roommates with furniture wanted!) Furnished (I have all the furniture we need!) Furniture Optional (Plenty of space for more.) Partially Furnished (Describe below)
Number of Bedrooms	1 2 3 4 or more
Room size:	Large/Master Bedroom Medium Small I'm not a good judge or I don't care.
Would you have to walk through the roommates room to get to other areas of the apartment?:	Yes No
Would the roommate have to walk through your room to get to other areas of the apartment?:	Yes No
Number of Bathrooms	1 1.5 2 2.5 3 or more
Is the kitchen:	Large / eat in Very Small Seperate from apartment Open to apartment
Please use this space to tell us anything else: Rent $__________ Deposit $________ Etc.	My Allowable Rent Price Range...

Maximum rent (including bills) you will consider