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Summary: DEMOGRAPHIC INFORMATION Please print clearly in ink.
IIT ID# Birthdate Gender: Female Male
Name
Fall 2009-2010 Academic Standing: First Year Sophmore Junior Senior Transfer Visiting Exchange Graduate
E-mail Telephone Alt. Tel.
Permanent address
Accessibility - Please notify Housing Services in writing of any accessibility considerations which might impact your housing assignment by June 1, 2009.
LIFESTYLE PREFERENCES All IIT residence halls are non-smoking. The most important factors for making room assignments are gender and room type preference.
School: IIT Vandercook Shimer Major:
Are you a smoker? Yes No No Preference
Would you prefer a non-smoking roommate? Yes No No Preference
Do you prefer to study in a quiet environment? Yes No No Preference
Do you prefer your room to be neat and clean? Yes No No Preference
Do you prefer to go to bed late at night? Yes No No Preference
Do you prefer to get up early in the morning? Yes No No Preference
ASSIGNMENT PREFERENCES Assignment requests will be honored whenever possible but cannot be guaranteed. Please note that the contract is for the Fall
2009 and Spring 2010 academic periods. All prices are listed per the academic year. Please rank all assignments for which you are eligible. Rank your
highest preference with 1. View housing.iit.edu for more information about each building and room type. Rates estimated; finalized rates available at
housing.iit.edu by March 1, 2009.
FIRST YEAR RESIDENTS
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