New Student Profile - Bushnell University

Personal Information

Name*

First

Last

Preferred First Name/Nickname

Bushnell ID Number (If Applicable)

Date of Birth*

(M/D/YYYY)

Gender (for housing placement)*

Male
Female

Contact Information

Permanent Address*

Street Address

City

State

ZIP Code

Do you have a different mailing address?*

Yes
No

Mailing Address

Street Address

City

State

ZIP Code

Emergency Contact Information

Name*

First

Last

Relation to You (i.e. father, mother, etc)*

Daytime Phone Number*

Evening or Weekend Phone Number*

Housing Preferences

Fall 2020, I will be a:*

Please rank your top two choices from the following housing options listed below.

First Choice*

Second Choice*

Roommate Choices

If you would like us to assign you a roommate would you prefer:

We try to place roommates together as often as possible when they request each other but reserve the right to use our own discretion and take space availability into consideration when final room assignments are made. Do you have a roommate you would like to request? If so, please list their name below. (Must be a mutual request.)

Other Comments for the Residence Life staff:

Student Profile

If you plan on playing a sport at NCU, which sport(s)?

Soccer
Volleyball
Cross Country
Basketball
Track & Field
Softball
Golf

Roommate Preference*

If Available, I’d like to room with a teammate
If available, I’d like to room with an athlete but not someone from my team
I prefer to live with a non-athlete
I have no preference whether my roommate is an athlete or not

Expected Major:

Which best describes your preferred study environment?*

The quieter the better
Background noise doesn’t nother me
As long as I have headphones, I can study in any environment
Music/TV/Video Games do not bother me no matter the volume
I like to study with people around
I thrive on all kinds of noise and distractions

The bulk of my studying occurs in the:*

Morning
Afternoon
Evening
Late Evening hours

How neat are you?*

Very neat, I cannot stand any messes/clutter
I do not like clutter, but I can deal with some of it
I am easy going , I’ll clean up once a week
I do not clean unless I am forced to
I cannot remember that last time I saw the top of my dresser

Tell us about your personality*

I’m introverted and like to spend a lot of my time alone or with one or two people.
I’m somewhat introverted and/or quiet. I like to be with people sometimes but also need time to myself every day.
I’m in the middle: I like people and spend a lot of time with people, but I need alone time to recharge sometimes.
I’m pretty extroverted and/or outgoing. I like small and large groups of people.
I’m an extrovert: I like to be around people most of the time.

How close would you like to be with your roommate?*

It doesn’t matter to me if I am close with my roommate
Be respectful and peacefully co-exist
Be friends
Hang out in the same friend group
Be best friends

What role does your faith play in your decision to attend NCU?*

I chose Bushnell for other reasons
I consider myself spiritual, but am not part of any specific religious group, so NCU’s Christian faith is not particularly important to me
I am a person of faith or come from faith background, so NCU’s Christian focus was one factor that helped me to choose it
My faith is one of several important priorities in my college decision
My faith is the primary driving force in my life and why I came to NCU

When conflict arises what do you tend to do?*

I keep problems to myself and trust that others will come to see the problem on their own
I will hint at what bothers me and give the other person space to ask if there is a problem
I find a time to bring all my concerns out in the open so that the issues can be resolved
I address the issue directly so that there is no miscommunication

Do you consider yourself a:*

Heavy Sleeper: Light, noise, music, ringing of phones doesn’t bother me
Light Sleeper: I wake up very easily
Somewhere in between: I am ok with some light, music, fan, etc, but loud noises and bright lights will wake me up

You have a test tomorrow. Do you:*

Stay up late to study
Wake up early to study

What best describes what you would like you room/apartment to be?*

A quiet space for me and my roommate
Somewhere that a few friends feel comfortable hanging out
The ‘living room’ of the hall where everyone is welcome

Choose the top three concerns you would have about your future roommate:

Please list 3-5 hobbies or things you like to do in your spare time.

Examples: music, sports, reading, travel, missions, video games, arts, etc.

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