2020-2021 Housing Questionnaire
This information will be used to give you a room assignment and roommate for the 2020-2021 academic year! All new students will reside in Clewell Residence Hall.
First Name *
Last Name *
Preferred Name/Nickname *
Salem Email Address *
Alternate Email Address
Cell Phone Number *
Please select the semester you plan to enter Salem *
Anticipated Major
Entrance Status at Salem *
Please list any sports you plan to play at Salem
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 Services.)
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