BAC Student Housing Application + Questionnaire (for Fall 2018)
The following form is to be used to apply for BAC Housing located at Pine Manor College for the Fall semester of 2018. If you decide to live with a roommate, we will do our best to meet your needs and accommodations as a BAC student using this form.

In order to be considered for housing, you must be a current BAC student or an incoming student who has paid the ITR (intention to register fee) to Admissions. Housing assignment and roommate information will be emailed in mid-late December. Please be sure to notify Student Life ( and BAC Admissions ( if your contact information changes.

The BAC Office of Student Life will be in contact with you following the submission of your form.

Name (First and Last) *
Your answer
Please select the semester that you are applying for: *
Gender Identity: *
Date of Birth: *
Permanent Address: *
Your answer
Your answer
Email: *
Your answer
Are you applying for a single or double occupancy room? (single rooms are available at a limited capacity) *
If applying for a double room, and to help us match you with a roommate, please complete the following:
Student Status: *
Are you a smoker? *
Would you be willing to live with a smoker? *
I usually study in: *
I keep my room: *
I am usually: *
I usually go to bed: *
You would describe yourself as a: *
I plan to have overnight guests: *
What is most important to you regarding your living space? For example, your roommate, that you're able to study effectively, guests in your room, etc. *
Your answer
How would you describe yourself to a potential roommate? *
Your answer
May we have permission to release your phone number and email address to your roommate? *
Specific roommate requests:
Your answer
Do you have any physical or medical conditions which could affect your housing assignment (i.e. allergies, limitations of mobility, etc.)? *
If yes, please explain (please note that students who may need a medical accommodation to their housing arrangement should complete the Housing Accommodations Form found at:
Your answer
By submitting this form, I acknowledge that the above information is accurate. I acknowledge that the Office of Student Life will use this information as my application for housing on site at Pine Manor College. I am also aware that Pine Manor College is a substance-free community and a community of respect, and I agree to abide by the policies and standards of the institution, and the BAC Campus Compact. *
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