ATHERTON YMCA HOUSING APPLICATION FORM
Roommate Matchup Questionnaire
Please initial here stating you understand that roommate matching is a complimentary service completed
to the best of the staff’s abilities and by no way guarantees compatibility. I will in no way hold the YMCA Staff
responsible for any incompatibility between me and my roommate(s).
1. Personal Hours:
Early to bed, early to rise -- I
Flexible -- My personal hours
Night Owl -- I stay up late and
start winding down early in the
change depending on what's
sleep in often.
evening and I'm pretty energetic in
happening in my life.
the morning.
2. In-Room Study Habits:
Multitasker -- I like to
Ambient Noise -- I
Quiet -- I require quiet
Don't Take Work
have music or the
don't mind some
and no distractions in my
Home -- I do my reading
television on all the time
background noise in my
room to really get stuff
or homework at the lab, in
in my room or can talk
room, but need to have
done.
the library, or in cafés, I
on the phone while doing
fewer distractions to
try not to do homework in
homework.
study effectively.
my room.
3. Socializing in the Halls:
Room is a Social Hub -- I enjoy
Room Use Varies -- I invite
Room is a sanctuary -- I need
people dropping by at all times.
friends over but also need
to have privacy and personal space
specified quiet time for studying.
most of the time.
4. Approach to Cleanliness:
Messy -- I drop my stuff right
Casual -- My space is fairly
Neat -- I am orderly, clean, and
where I'm standing and it stays there
clean with some clutter.
tidy.
until I need it again.
SIGNED_______________________________________________________Date__________________________
SIGNED_______________________________________________________Date__________________________
(Signature of Parent or Guardian if applicant is under 18 years of age)
ATHERTON YMCA | 1810 UNIVERTSITY AVE, HONOLULU, HI, 96822 | P (808) 946-0253 F (808) 955-0893