Housing Questionnaire | Young Americans

Profile ID Number*

Student's Legal First Name*

Student's Legal Last Name*

Age*

Home Address*

Home City Home State/Province Home Country

GENDER DESIGNATION The Young Americans and The Young Americans College of the Performing Arts has a diverse and dynamic student body and it is our mission to ensure all students and members feel safe and comfortable within the organization. As such, The Young Americans and The Young Americans College of the Performing Arts define gender as the gender with which the individual student/member self-identifies. While you are not required to provide information about your own gender identity, gender expression or biological sex, this information may be helpful in placing you with a compatible roommate.

What is your personal gender identity?

I identify as:

What was your assigned sex at birth?

Woman
Man
Prefer not to state
Other Gender Identity

GENDER-NEUTRAL HOUSING OPTION: YACPA offers a gender-neutral housing option to all students. Gender-neutral housing provides a living environment where student housing is not restricted to traditional limitations imposed by gender and/or sex definitions. This option is ideal for students whose gender expression, gender identity, and/or biological sex varies from the standard paradigm and for students who believe that their gender and/or biological sex should not be limiting factors in roommate decisions. All students will have the option to participate in, or opt out of, gender-neutral housing simply by indicating your preferences below:

How comfortable are you living with a non-conforming person?

Not at all comfortable
Neutral
Absolutely comfortable

You prefer that your roommate's gender identity is:

(select all that apply)

Woman
Man
Transwoman
Transman
Genderqueer
Prefer not to state
Other Gender Identity

You prefer that your roommate's assigned sex at birth is:

(select all that apply)

Woman
Man
Prefer not to state
Other Gender Identity

What are your comfort levels with a roommate regarding modesty & privacy (for example changing clothes with others in the room):

Comfortable
Somewhat comfortable
Not at all comfortable
Neutral

Student Apartment Options

All student apartment units are 2 bedroom, 2 bathroom, and include a living room, kitchen, dining area, and patio or balcony. Appliances include washer/dryer, fridge, oven, stove, and microwave. Apartments are unfurnished with the exception of a standard twin bed or bunkbed for each student.

All apartments will have either 5 students or 4 students (the 4-student apartment option is the most expensive option and spaces are limited).

The preference you select will be considered when completing housing assignments; however, all housing placements are based on room availability, and we cannot guarantee that the preference you select is where you will be placed (no students selecting options 1 or 2 will be placed in option 3).

**Apartment options are listed from least expensive to most expensive. Rates include monthly utility costs which average $80 per student. Students may be charged additional fees if average monthly utility cost per student exceeds $80.**

Please mark your room preference below by selecting Option 1, 2, or 3*

OPTION 1: $5,960 per student
3-PERSON BEDROOM
- 2 bedroom/2 bath apartment with 3 students in this bedroom and 2 students in the other bedroom, totaling 5 students in the apartment.
- The 3-person bedroom will be supplied with 1 standard twin bed and 1 bunkbed.
OPTION 2: $6,460 per student
2-PERSON BEDROOM
- 2 bedroom/2 bath apartment with 3 students in this bedroom and 2 students in the other bedroom, totalling 5 students in the apartment.
- The 2-person bedroom will be supplied with 2 standard twin beds.
OPTION 3: $7,530 per student (limited availability)
2-PERSON BEDROOM
- 2 bedroom/2 bath apartment with 2 students in each bedroom, totaling 4 students in the apartment.
- Each bedroom in the 4-person apartment will be supplied with 2 standard twin beds.

IMPORTANT NOTE for those planning to utilize Federal Financial Aid for housing costs:
Financial Aid refunds are sent from NCMC directly to the student in two payments: the first payment is sent in October and the second payment is sent in February.

This means that students will need to have enough money available to cover rent without aid initially. Once aid is disbursed, if all tuition fees have been paid, remaining funds may be used to "reimburse" oneself for housing.

Roommate Questionnaire

To best help us in placing you, please answer all questions as honestly as possible. This questionnaire is kept in strict confidence and is only used to help with your roommate placement.

Do you smoke?*

I smoke cigarettes
I smoke a hookah
I smoke e-cigs
I do not smoke

Do you object to a roommate that smokes?*

Yes
No

Do you prefer to*

Keep your room extremely neat and do not like when anything is out of place
Keep your room neat with everything in it’s place most of the time
Not worry about how your room looks, letting it get cluttered sometimes or even most of the time?

Do you have experience cooking, cleaning, grocery shopping, and doing your own laundry?*

I have been doing all or most of these for several years
I have recently started doing some or all of these
I have always had someone do most or all these for me

Do you prefer to go to bed:*

Relatively early (generally before midnight)?
Late (generally after midnight)?

When you are studying, are you:*

Easily distracted, preferring relative quiet?
Able to ignore background noise?
Able to ignore background noise, and/or prefer some background noise (i.e. music)

How do you feel about your roommate(s) using/borrowing your things?*

What’s mine is yours
It’s okay as long as they ask first
What’s mine is mine, please don’t touch/use my things

What is your visitor preference?*

No guests in our apartment
Guests are okay but I prefer no overnight guests
I love having guests!

Please note that our student housing agreement states that you need the written permission of your roommates for guests to stay overnight; guests may stay no more than 3 nights per semester.

How do you feel about rules:*

Rules are there to be followed
Rules are just guidelines and can sometimes be bent
In many situations, I don’t feel like rules really apply to me

Do you expect your apartment to be:*

A fairly private place to relax and study
A place where your friends come to socialize from time to time
A place where people come over and hang out all the time

Do you plan to have a car in California?*

Yes
No

If yes:

I don’t mind giving people a ride as long as they provide a little gas money
I am selective about who can ride in my car
I prefer not to drive others

I play and plan to practice an instrument in my apartment*

Yes
No

If yes, which instrument(s)?

What do you enjoy doing in your spare time? (check all that apply)*

Is there anything else you would like us to know when considering your roommate placements? (allergies - dietary or environmental; dietary restrictions such as vegan or vegetarian; unusual sleeping habits such as insomnia, sleepwalking, must sleep with music/white noise, etc.)

Roommate Preference

Would you like to room with someone from your hometown?*

Yes
No
No preference

Would you like to room with someone from your home state?*

Yes
No
No preference

For International Students: would you like to room with someone from your home country?

Yes
No
No preference

If you selected Apartment Option 1 or 2 you may submit up to 4 names to be in your apartment. For Option 3 you may request up to 3 other names to be in your apartment. For requests to be considered, all parties must request each other (for example: if you want Susie Smith to room with you, you must enter her name below and she must enter your name on her form). Roommate requests are NOT guaranteed, and Student Housing Staff may choose to make alternate placements.

Name #1

First Last

Name #2

First Last

Name #3

First Last

Name #4

First Last

Comments

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