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2017-2018 Housing Questionnaire
This information will be used to give you a room assignment and roommate for the 2017-2018 school year!
First Name
Your answer
Last Name
Your answer
Preferred name/Nickname
Your answer
Salem email address
Your answer
Alternate email address
Your answer
Cell phone number
Your answer
Please select the semester you plan to enter Salem
Anticipated major
Your answer
Entrance Status at Salem
Please list any sports you plan to play at Salem
Your answer
Do you have any medical concerns or special needs that staff at Salem College need to be aware of when assigning your room? (If yes, please explain below and ensure you have submitted a request for medical accommodation to the Health Center.)
Your answer
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