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Roommate Agreement Form 03

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Roommate Agreement

I. Daily Schedule

A. Quiet hours can be set for ______________________ daily.

(What hours of the day will be study time in the room? Be aware that Housing and Residence Life has set quiet hours for your residence hall.)

B. Study Conditions

(What will help each person study best?)

1. Name: ___________: ____________________________________________

2. Name: ___________: ____________________________________________

3. Name: ___________: ____________________________________________

4. Name: ___________: ____________________________________________

C. TV/Stereo when _____________________ loudness_______________

II. Housekeeping/Cleaning

A. Trash: When? _________________ Whom? _____________________

B. Sink- When? __________________ Whom? _____________________

C. Bathroom Area (if applicable)- When? ___________ Whom?_________

D. _________________ When? ________________ Whom? _________________

III. Visitors/ Guests

A. Males are allowed until ________________

B. Females are allowed until _________________

(Be aware that Housing and Residence Life has set visitation hours for your residence hall.)

IV. Telephone Messages

A. How/ where they will be taken/ posted __________________________

V. Additional Costs

A. How they will be agreed upon/ split ____________________________

VI. Personal Property

A. Items shared (with permission?)

1. _____________________________ 2. _______________________________

3. _____________________________ 4. _______________________________

B. Items not shared

1. _____________________________ 2. _______________________________

3. _____________________________ 4. _______________________________

VII. Conflict Resolution

Step One: · Approach Roommate

Step Two: · Contact R.A. with problem

R.A. will meet and mediate problem if necessary

Step Three: If not satisfied, Hall Coordinator will be contacted.

Other _______________________________________________________

We, the residents of Room ____ , have discussed and agreed upon these conditions. We may renegotiate this contract at any time during the year.

Signed __________________________________________ Date ________________

Signed __________________________________________ Date ________________

Signed __________________________________________ Date ________________

R.A. _____________________________________________ Date ________________

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