<p> BREAD LOAF SCHOOL OF ENGLISH HOUSING INFORMATION - VERMONT</p><p>All students, even those planning to live off campus, must return this form to Elaine Lathrop, Bread Loaf School of English, Middlebury College, Middlebury, VT 05753, no later than the date listed in your admission letter. </p><p>Name______Age ______Gender______Last First</p><p>Address (city and state only) ______/______(city) (state)</p><p>Do you wish a room reserved for you on the Vermont campus? No______Yes______</p><p>ON-CAMPUS HOUSING: Housing, where possible, is co-ed; dormitory floors and bathrooms are single-sex. Most rooms are doubles, though a few singles are available. Housing is assigned by seniority, but we do what we can to honor your preferences. Please list your preferences, in order of priority. Options include: Single or Double Bread Loaf Inn or detached dormitory Quiet dormitory (quiet hours start at 9:30 p.m,) 1. ______2. ______3. ______</p><p>Roommate preference: ______</p><p>Preferred building/room*: ______*(Because of our efforts to increase co-ed housing, the dorms/floors available to women and those to men may vary from summer to summer, depending on enrollments.)</p><p>Smoking is not allowed in the dorms. Because some people have severe allergies to smoke, we need to know: </p><p>Do you smoke? No____ Yes ____ </p><p>Would you accept a roommate who smokes? No____ Yes ____ </p><p>On a regular basis, do you: rise before 6 a.m. ____ at 6 a.m. or after ____</p><p> prefer lights out before 11 p.m. ____ at 11 p.m. or later ____</p><p>Describe any condition that requires special housing accommodations (documentation may be required). </p><p>______</p><p>Do you plan to bring a car? No ____ Yes ____</p><p>OFF-CAMPUS HOUSING: Students bringing partners, families and/or pets must secure housing off campus. Would you like to receive a list of available housing in the area? No____ Yes ____</p><p>Would you like to receive information on child care (mailed in May)? No____ Yes____</p><p>Will you be living at home? No____ Yes____</p>