LSAbroad Accommodation Form ]]>

 

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, 
which is: 

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.

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