Roommate Agreement Form Page 2

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Visitors: Guests of the same sex are permitted to spend 12 nights (No more than 3 consecutive) with the
permission of all occupants of the room. There is a 20 day maximum for guests. They are not to be left
unattended or to be in possession of your key. Visitation of the opposite sex is until 1:00 a.m. Sunday –
Thursday and 3:00 a.m. Friday and Saturday.
1. Arrangements of guests should be made _________________ days in advance.
Let each other know
2. If we want to have overnight visitation of the same sex, we will:
Ask permission
Other:
______________________________
:
On the floor
Not on my bed
3. Guests may sleep (circle all that apply)
On the couch
Other
:____________________________________
Any time
Not when a roommate is asleep
4. Friends can visit (circle all that apply):
Not when a roommate is studying
Other
:__________________________________________
5. Guests are not allowed to :
______________________________________________________________________________
______________________________________________________________________________
6. If privacy is needed, we will notify each other by :
________________________________________________________________________
7. Guests will leave by:________________________________________________________
Sharing/ Going out of town/Conflict:
(Please circle all that apply)
1. If leaving for the weekend, we will:
Notify each other
Not notify each other
Television
Stereo
Phone
Toiletries
Clothes
2. It is okay for us to share:
Game systems
Dishes
Other:
___________________________________________
3. If we hear gossip, negative talk about a roommate, we will :
Talk to that person
Inform roommate
Consult RA
4. Preferred means of communication with roommate(s) if there is a conflict:
Face to face conversation Notes, emails, voicemails Mediation with UNF Housing Staff member
5. If a conflict arises, our plan of action will be:
______________________________________________________________________________
______________________________________________________________________________
Additional Comments/Feedbacks:
_____________________________________________________________________________________
_______________________________________________________________________
Our R.A. lives in __________ The R.A.’s phone number is _____________________________
I understand that I may be held responsible for the agreed upon terms above. I will do my absolute best to
communicate and compromise with my roommate(s) to make our time together a positive experience.
Date: _________________Resident Assistant Signature: _____________________________________
Roommate Signatures:
1. _________________________________________ 2. _______________________________________
3. _________________________________________ 4.________________________________________

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