Honors Housing Form

Students who wish to live on the Honors floors of Murphy Hall must complete this form and fill out a housing application with the Office of Residential Life. This form helps Honors find a roommate who is right for you.

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Name Name First Last
Phone Phone - ### - ### ####
Home Address Home Address
Street Address City State / Province / Region Postal / Zip Code Country
Tennessee Tech Email
Gender

Gender Male Female
Major
T#
Please select the option that describes you best:

Please select the option that describes you best: I am an incoming first-year student. I am a returning TN Tech student. I am transferring to TN Tech from a different university or community college.
Have you been admitted to the TN Tech Honors Program?

Have you been admitted to the TN Tech Honors Program? Yes (please proceed) No (please visit the Honors Program Admissions website to apply)
If currently living in Murphy, list room number:
If requesting a particular room, provide room number:
If requesting a roommate, provide his/her name:
Do you have accommodations that we need to consider? (Requiring a single room, nearby access to elevator, etc.)

Put N/A if none.

Please note that this is NOT a preference. Rather, this is for individuals with SPECIFIC accommodations.
1.) Do you smoke (cigarettes, vape, etc.)? Please be honest.

1.) Do you smoke (cigarettes, vape, etc.)? Please be honest. Yes No
2.) While studying, which do you prefer? Check all that apply.

2.) While studying, which do you prefer? Check all that apply. have the TV on play music with lyrics play music without lyrics silence study with someone else study alone I don't study
3.) On a scale of 1-10, how neat or cluttered do your prefer your room?
4.) On a scale of 1 to 10, which best describes you? (1=Reserved, preferring to be with few people or alone. 10=Very sociable and active.)
5.) What temperature do you prefer your room?

5.) What temperature do you prefer your room? <65 65-70 70-75 75-80 >80
6.) On weeknights, what time do you expect you'll be going to bed?

6.) On weeknights, what time do you expect you'll be going to bed? before 9 PM 9 PM - 10 PM 10 PM - 11 PM 11 PM - 12 AM 12 AM - 1 AM after 1 AM irregular/depends on the day
7.) During the week, what time do you expect you'll be getting up in the morning?

7.) During the week, what time do you expect you'll be getting up in the morning? before 6 AM 6 AM - 7 AM 7 AM - 8 AM 8 AM - 9 AM 9 AM - 10 AM after 10 AM irregular/depends on the day
8.) What do you plan to share with your roommate? Check all that apply.

8.) What do you plan to share with your roommate? Check all that apply. nothing (what's mine is mine, what's yours is yours) food dishes clothing computer everything (what's mine is yours, what's yours is mine) anything, if you ask first! unsure/open to discussion
9.) What traits do you have that might annoy a roommate? Check all that apply.

9.) What traits do you have that might annoy a roommate? Check all that apply. very quiet very talkative on phone calls or video calls often significant other visits/hangs out in the room often critical of others snoring partying in room Other, please specify Other, please specify
10.) What traits in a roommate would annoy you? Check all that apply.

10.) What traits in a roommate would annoy you? Check all that apply. very quiet very talkative on phone calls or video calls often significant other visits/hangs out in the room often critical of others snoring partying in room Other, please specify Other, please specify
11.) Please list any allergies or medical considerations.
12.) Anything else you want us to consider? List it below.
13.) Please check the five questions on this form you want weighted MOST heavily:

13.) Please check the five questions on this form you want weighted MOST heavily: 1 (smoking) 2 (studying) 3 (cleanliness) 4 (sociality) 5 (temperature) 6 (bedtime) 7 (wake-up time) 8 (sharing) 9 (my traits) 10 (roommate's traits) 11 (allergies/medical considerations) 12 (any other considerations)