Housing Request Form

Welcome to Nebraska Wesleyan University! Please complete the following information honestly and completely so that we can make the best housing placement possible. We hand select housing options for all new and incoming students based on the information you provide in this questionnaire. Visit the Living on Campus section to view residential facilities and community policies.

Student
(Optional)
Phone (Optional)
(Optional)
(Optional)
Gender
What semester do you plan to start?
Are you a transfer student?
(Optional)
Living Arrangements
I will
You must live with a parent/guardian within 30 miles of campus

You will need to complete and mail in the Housing Exemption Form. A link to a PDF of this form will be included on the confirmation page after submitting this form and in your confirmation email. This exemption will need to be approved by the Residential Education Office.

Housing Preferences
I prefer a (Optional)

Community Preference (please rank your top three choices):
Room assignment is based on the date your admission deposit is received. We make every effort to honor your requests, however, housing preferences are not guaranteed. You may be assigned to any of these facilities.

(Optional)
(Optional)
(Optional)
In the event that these preferences conflict, which is most important to you? (Optional)
I typically keep my living space (Optional)
I prefer to live with someone who is clean and organized (Optional)
I typically go to bed (Optional)
Could you live with someone who stays up past midnight regularly? (Optional)
I hope that my room will be (Optional)
Could you study in a room with someone else who has TV/music/video games on? (Optional)
I have chosen to live substance-free (i.e. tobacco, alcohol) and would prefer a substance-free roommate (Optional)
All residential facilities at Nebraska Wesleyan are smoke-free. Could you live with someone who chooses to smoke elsewhere? (Optional)
I am a smoker (Optional)
I would like the opportunity to room with an international student in Centennial Hall (Optional)
(Optional)

Two interests I would prefer to have in common with a roommate:
Examples: hobbies, activities, characteristics, academic interests, etc.

(Optional)
(Optional)

Roommate Request:
To request a roommate, list your roommate preference below. Your roommate must also list your name on his/her housing preference form. All roommate requests MUST be submitted by June 15 to be considered. Roommate requests take priority over building preferences.

(Optional)
Would you like your room to be used as a showroom during the school year? (Optional)
Prospective students and families visit the showrooms during campus tours (Monday-Friday between 9 am-4 pm). Selecting “Yes” does not guarantee that your room will be selected. Roommates must be in agreement about serving as a showroom. If selected, each student is credited $200 towards their tuition. Please contact Heather O’Neill at 402-465-2148 or honeill@nebrwesleyan.edu with any questions.

Americans with Disabilities Act:
If you have a medical condition (physical and/or mental) that may require an accommodation, please contact the ADA Coordinator, Sandra McBride, at (402) 465-2346. Requests must be submitted by June 15 for initial consideration in housing placement.