Long Term Application - Marquam Hill Cooperative
Application for Long Term Stays (>6 months) and Permanent Membership in the Marquam Hill Cooperative
Sign in to Google
to save your progress.
Full name, Address/City/State/Zip, phone number, email
OHSU school program and intended year of graduation:
Date expected to move in and length of intended stay:
How did you hear about us?
You just earned $1,000,000,000 dollars. What do you do with the money?
Tell us about a time you disagreed with someone and if/ how you resolved it
Picture this: It's Friday night, you're hanging out with your friends, what are you going to do?
What's your favorite book, movie, and/ or podcast? Why?
How clean does your room need to be? (1 = not so much, 5 = spotless)
Not at all
The floor needs to sparkle, even though it's a carpet
If you weren't in the health sciences profession, what would you be doing? Why?
Where is your favorite place on Earth?
Are you still friends with your old roommates?
What do you look for in your roommates?
What previous job experience do you have?
Have you ever been arrested, convicted, and/ or acquitted for any state and/ or federal offense and/ or are you currently under investigation for a violation, misdemeanor and/ or felony in the United States? (Inaccurate answers will likely result in disqualification of the application)
You may explain your previous answer here and/ or provide additional information:
Please provide 1 reference with contact information
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service