Housing reservation

Housing Reservation

Information received from this form will help us attribute rooms which, to the best of our capabilities, will have been chosen according to your preferences. However, we cannot guarantee a perfect match due to the limited number of rooms available and the requirements of the owners and/or tenants. GIA-Gestion inc. will make final matching according to availability.

Please complete the entire following form:

Please note that all fields followed by an asterisk must be filled in.

Family Name*

First Name*

Sex*

	F
	M

Nationality*

Date of Birth (dd/mm/yyyy)*

Arrival Date to Montreal (dd/mm/yyyy)*

Departure Date (dd/mm/yyyy)*

Telephone Number*

Street Number and Name*

City/Town*

Province/State/ Region*

Postal/Zip Code*

Country*

Name of University of Origin*

HEC Student ID Number (Matricule)*

University Program at HEC*

	B.A.A.
	M.Sc.
	M.B.A.

French Language Level*

	Basic
	Intermediate
	Advanced

English Language Level*

	Basic
	Intermediate
	Advanced

I smoke*

	Yes
	No

I can live in a smoking environment*

	Yes
	No

I can live with domestic animals*

	Yes
	No

I suffer from allergies*

	Yes
	No

If you suffer from allergies, please specify:

I am presently living:*

	With my family
	With roommates
	In a university residence
	By myself in an apartment

I have lived this way since:*

	Less than 6 months
	6 months to 1 year
	More than 1 year

I usually go to bed:*

	Between 8 pm and 10 pm
	Between 10 pm and 12 pm
	After midnight

I keep my living space:*

	Very tidy
	Tidy
	A little messy from time to time

I prefer to live with:*

	Men only
	Women only
	Men and women

I prefer to live with:*

	One or more Quebec students
	One or more students of foreign origin

I prefer to live:*

	On the university campus (preference for a big room)
	On the university campus (preference for a small room)
	Near the university campus - Plateau Mont-Royal
	In a room at the university's residence

I am:*

Check boxes that best describe your personality.

IMPORTANT: In order to insure the best possible matching, please answer honestly.

	Studious
	Partier (I like to party)
	Introverted
	Extraverted
	Tolerant
	Demanding
	Calm
	Dynamic
	Sociable
	Serious
	Independent
	Organized

I practice sports*

	Yes
	No

If yes, please specify sports:

I play a musical instrument*

	Yes
	No

If yes, please specify instruments:

Briefly describe what motivated you to apply for an exchange program at HEC Montreal:*

Briefly describe what your expectations are in regards to sharing an apartment with roommates (please specify your expectations and any other important detail (example: limited budget)):

ACCEPTANCE OF SERVICE TERMS (read Service Description and Reservation Policy sections):*

I declare having read and understood the conditions that apply to reserving a room.

Date (dd/mm/yyyy):*

Signature (First & Last name):*

E-mail :*