Housing Application

The Student Life Office makes every effort to pair new students with roommates with similar lifestyle preferences. Therefore, all students are encouraged to respond honestly and candidly to the following questions. We recommend that you complete this application privately so you are able to provide your thoughts and preferences. The information you provide will determine your future roommate. Pleas fill this form out completely.

Please click the SUBMIT button once you have completed everything on this form. Incomplete housing applications will not be accepted.

Full Name:		Major:
Address:		City:
State:		Zip:
Cell Phone		Gender:
Phone Number:		Email:
Age:		Birth Date:
Health Insurance Compay:		Policy #:

Note-(All residential students are required to have Health Insurances).

Please check all residential communities that are of interest to you:

Single Sex Female		Single Room *Require medical documentation and cannot be guaranteed
Co-ed by Floor		Co-ed by Wing

Which meal plan would you like to choose?   

Please list any contact information that you wish to share with your future roommate:

Do you know the name of a student you would like to have as a roommate?  If so, what is their name?   

Please describe your expectations of the residence hall community, including any specific views you may have about noise, privacy, etc:

On the following scale, please check the number that best represents you:
1=Never true, 3=Sometimes true, 5=Always true

Do you plan on participating in varsity athletics at Lake Erie College? If so, please check all that apply:

Soccer		Cross Country		Baseball		Golf
Volleyball		Softball		Basketball		Football
Lacrosse

Please list music that you like:	Please list music that you dislike:
What clubs, activities, or organizations do you plan on participating in at LEC:

Please do not hesitate to call if you have any questions at 440.375.7509 or email me, Bob Beyer, at bobbeyer@lec.edu. You will receive additional information about your roommate and housing assignment in the near future.

NOTE - Please submit the Housing Application and Emergency Contact Form immediately in order to be placed in a room. You will not receive a housing assignment unless you have paid your deposit.