BSSM Housing at Simpson Interest Form
BSSM students: This is only a form to express your interest in living in a Simpson University dorm. We will follow up with you in the coming days. Thank you!
First Name *
Your answer
Last Name *
Your answer
Phone *
Your answer
Email Address *
Your answer
Date of Birth *
BSSM Student ID Number *
Your answer
Are you able to pay the full amount for the year up front? Refer to for pricing information. *
First & Last Name of Roommate Choice (if applicable)
Your answer
How important is it that you room with someone close in age? *
Do you plan to be employed during your time at BSSM? *
If over 6 feet tall, would you like a longer mattress? (Limited Availability)
Do you have any health concerns we should be aware of? *
Your answer
I consider my self to be a: *
When I study, I prefer it to be: *
When I sleep, I prefer: *
How important is it to you to keep a clean space? *
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