YOUNG HARRIS COLLEGE RESIDENCE LIFE OFFICE

Application for housing and personal demographic information.

Please note all personal demographic information provided is confidential and only used by
Admissions and Student Life professional staff members. Please fill in all information,
print, sign, and return to the Admissions Office, Post Office Box 116, Young Harris, Georgia 30582.

Name: Please select: Male Female
Home Address:

Address
City
State

Home Telephone: ()- Email Address:
Emergency Contact: Relationship to you:
Telephone:

Home: ()-
Work: ()-
Cell: ()-

Application for semester beginning (please select one): Fall Spring Summer I SummerII

Roommate Preference (if any):
Please ensure that the person with whom you wish to room also lists your name on their
application.

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Personal Data Sheet (Please use this section to note any additional information that you
believe to be important about yourself or your future roommate.)

Please check all that are appropriate:
Roommate Preference:
Non-Smoker Smoker User of Smokeless TobaccoNo Preference
*Please note: Smoking inside any College buildings, including residence halls, is prohibited.

At YHC will you be participating in Varsity Sports?
No Yes (Sport:)

Type of person you prefer for a roommate: (Check all that apply)
Christian Same Major Outgoing Athletic
Studious International Special Needs

List your hobbies/interests:

When I study I: (check one)
Require absolute quiet and am easily distracted
Like low background noise or music
Am able to tune out most noises and am not easily distracted.

I anticipate using my residence hall room: (check one)
As a quiet place to study
As a social gathering place for myself and friends
As a place to study and to socialize with friends

Please select a number for each question.

Do you like your room cold or hot?
1 being Cold and 5 being Hot. 1 2 3 4 5

Do you like your room neat or messy?
1 being neat and 5 being Messy. 1 2 3 4 5

Do you go to sleep early or stay up late?
1 being early and 5 being late. 1 2 3 4 5

Do you enjoy your music/TV quiet or loud?
1 being quiet and 5 being loud. 1 2 3 4 5

Do you have any health related problems that should be considered in making
roommate assignments?

Any student with special needs may contact the residence life office, 1-800-379-3111 ext.5174

Please select your housing preference:
*Additional information on residence halls may be found on our website at
http://www.yhc.edu/studentlife/reslife/halls.html

Rank order (#1 = first) your preference of living options. Preferences are honored
whenever possible, however housing configurations may change based on enrollment
projections and number of applications received. All halls will house both first
and second year students.

Males	Females
1 2 3 4 5 Appleby East Hall	1 2 3 4 5 Appleby Center Hall
1 2 3 4 5 Appleby West Hall	1 2 3 4 5 Appleby East Hall
1 2 3 4 5 Manget Hall	1 2 3 4 5 New Hall
1 2 3 4 5 New Hall	1 2 3 4 5 Rollins Hall
1 2 3 4 5 Winship Hall

Signature	Date

You will be notified of your housing assignment and roommate contact information
by mail to your permanent address.