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This form can be good
to give to your residents at the beginning of the
semester, or to adapt and use for roommate mediation.
If you want a Microsoft Word file of it, Click
here, and save it to your computer.
NOTE: This is an extremely
simple form. Your institution probably has one that
is catered to the specific needs of your property
and student population. Feel free to use this one
as an example.
Some things to talk
about with your new roommie:
Somebody's Been Eating My Food!
May roommates borrow food from one
another? If so, how soon should it be replaced or
paid for?
_____________________________
HEY! I'm trying to sleep!
When do you typically go to bed and
wake up? How about having a light on while the other
roommate is asleep?
______________________________________________
Isn't that my jacket?
What about sharing and borrowing personal
items such as clothes, cds, skis? Are items such as
stereos, TVs or the microwave off limits or for mutual
use? Is permission required for all items or just
certain ones?
______________________________________________
Meet Our New Roommate
How do you feel about an overnight
guest? How often may guests come and how long may
guests stay? Where do guests sleep? Is there a difference
between guests and boyfriends/girlfriends staying
the night? How often may they stay? (Colorado State
Residence hall policy is 2 night limit on guests)
_______________________________________________
Quiet, I need to study...
What's your definition of noise? What's
loud and what isn't? What kind of music do you like
to listen to? At what times should noise be minimized
so others may study or sleep? Is absolute quiet needed
in order to study? How important are grades?
_________________________________________
Drinking & Smoking
How do you feel about smoking and
drinking/partying? (NOT IN YOUR ROOM) :-) How about
smoking in the room (If you are on a smoking floor)?
______________________________________________
You are such a slob!
What are your standards of cleanliness?
How clean should the place be kept?
______________________________________________
You didn't tell me that Publisher's
Clearing House called?!
What about telephone and general messages?
Where should they be kept? How do you respond to a
roommate's calls?
______________________________________________
I have read, discussed,
and agreed to abide by the standards set here and
that have been discussed, and will strive to practice
respect for my roommate.
Signed: Roommate A ___________________________________________
Date __________
Roommate B
___________________________________________
Date __________
Click
here to download a Microsoft Word file of this
roommate form
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