Housing Questionnaire | Young Americans

Student's Legal First Name*

Student's Legal Last Name*

Age*

Home Address*

Home City Home State/Province Home Country

Legal Sex*

Female
Male

Student Apartment Options

All student apartment units have 2 bedrooms and 2 bathrooms. They include a living room, kitchen, dining area, and patio or balcony. Apartments are unfurnished but do come with a standard twin bed for each student and major appliances (washer/dryer, fridge, oven/stove, dishwasher, and microwave.

All apartments will have 4 students, 2 in each bedroom.

IMPORTANT NOTE for those planning to utilize Federal Financial Aid for housing costs:
The lease agreement will be for the entire 8.5 month academic year, but rent will be billed in two portions: fall and spring. This allows students the opportunity to utilize federal funds to cover housing costs.

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 plan to have a car in California?*

Yes
No

Vehicle Make, Model, and Color

For example: Ford Mustang, Red

Vehicle State & License Plate Number

For example: CA HDB78X9

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

Yes
No

If yes, which instrument(s)?

Do you prefer to*

Keep your room extremely neat and do not like when anything is out of place
Keep your room relatively neat, allowing it to get cluttered occasionally
Not worry about how your room looks, letting it get cluttered/messy 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, do you:*

Get easily distracted, preferring quiet
Prefer a little background noise like music or TV
Study best with continuous background noise

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 preference regarding overnight guests?*

I prefer not to have overnight guests
Depends on the situation / who it is
I love having guests and people can sleep over anytime!

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 smoke?*

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

Are you okay with being placed with a roommate who smokes?*

Smoking is not permitted inside the apartments or on the patio/balcony. Smoking is only permitted in designated smoking areas in the complex.

Yes, it is okay if my roommate(s) smoke
No, I do not want to live with someone who smokes

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.)

Please note that per the Leasing Agreement, pets are not allowed.

GENDER IDENTITY
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, sexual orientation or biological sex; this information may be helpful in placing you with compatible roommates. Your responses will be kept private and secure.

Is your gender identity or gender expression different than your assigned sex at birth?

No, my gender identity/expression is the same as my assigned sex at birth
Yes, my gender identity/expression is different than my assigned sex at birth
Prefer not to answer

If your gender identity/expression is different than your assigned sex at birth and you would like to share your gender identity/expression with us, you may do so here:

GENDER-NEUTRAL HOUSING
YACPA offers a gender-neutral housing option. Gender-neutral housing provides a living environment that 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.

Please note that mixed gender apartments (both male and female in the same apartment) are only available through the gender-neutral housing option.

Are you interested in Gender-Neutral Housing?

Yes
No

If yes, we may ask for additional information and provide additional details regarding this option.

Roommate Preferences / Special Requests

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

Is there anything else you would like to share with us regarding your roommate assignments / preferences?

(please keep in mind that housing questionnaires are confidential and your honest/candid responses will assist us in pairing you with the best possible match)

Roommate Requests
If you would like to request specific people for roommates, you may do so below. You may submit 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 be in your apartment, you must enter her name below and she must enter your name on her form).

Please keep in mind that mixed-gender apartments (male and female in the same apartment) are only available if you’ve said yes to the gender-neutral housing option above. All other apartments will be all male or all female.

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

Roommate assignments will be sent June 28th. We recommend waiting until assignments have been sent to determine what furnishing you would like to have in your apartment. Please be mindful when discussing furnishing options and budgets that students will be coming from a variety of financial situations.

Email

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