Educational Opportunity Program - Advancement on Individual Merit

























EOP/AIM
W3520 Melville Library
Stony Brook University
Stony Brook, NY
11794-3375
631.632.7090

State University of New York at Stony Brook
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Last Modified
June 2, 2010


EOP/AIM Stony Brook University
Pre-Freshman Summer Academy
Lifestyle Questionnaire
Last Name:
First Name:
Stony Brook ID#:
Gender:
I am likely to major in:

Please rate each item in relation to YOUR needs (high, medium, low). Your responses will be used in assigning you a roommate.
    Need for early bedtime (before midnight):
    Need for an orderly room:
    Need to entertain friends in room:
    Need to study in room:
    Need for quiet while studying:
Please indicate any special dietary need below (i.e. vegetarian, Kosher, halal, disabilities, etc.)
Please indicate any health concerns that we should be aware of (i.e. asthma, diabetes, epilepsy, etc.)
Although smoking is not permitted in any indoor facility on campus, please indicate if you are a smoker.