Liberal
Studies Abroad Accommodation Preference Form
Location and Year of Program: ________________________________
| 
   Name: 
 
  | 
  
   Student Number (if any): 
 
  | 
 
| 
   Type of Accommodation
  Preferred:  
 
  | 
  
   Second Choice (if first
  not available):  
 
  | 
 
| 
   Names of Applicants you wish to share with (if any): 
 
 
 
  | 
  
   Please note any lifestyle characteristics (other than those below) which you feel organizers should take into account when assigning accommodation: 
 
 
 
 
 
 
 
 
  | 
 
| 
   In order to assist us in assigning room-partners, please check as many of the following descriptions as you think refer to you:  | 
 |
| 
   
  | 
  
   
  | 
 
| 
   Like to rise and retire early  | 
  
   Like to rise and retire late  | 
 
| 
   Quiet and studious type  | 
  
   Basically out to have fun  | 
 
| 
   Non-drinker  | 
  
   Anti-smoker  | 
 
| 
   Social drinker  | 
  
   Non-smoker  | 
 
| 
   Heavy drinker on occasions  | 
  
   Smoker  | 
 
| 
   Prefer to share with people
  my own age,    | 
  
   Don't mind at all about age  | 
 
Send this form to Libby McGrattan, Liberal Studies Department, Vancouver Island University, 900 Fifth Street, Nanaimo, BC, V9R 5S5, Canada.