Roommate Agreement Form 

Roommate #1: ________________________ 

Roommate #2: ________________________ 

Room Number: _________ 

Date Completed: ___________ 

1. Preferred Quiet hours in room: From ______ to _____ 

2. Preferred noise level in the room:  

Silent ____ Low volume ____ Moderate ____ Loud with headphones ____ 

3. Are phone calls allowed in the room? Yes ____ No ____ 

4. Guest Policy: 

1. Guests allowed in room? Yes ____ No ___ 

2. Maximum number of guests at one time: _______ 

3. By what time should guests be out of the room?: 

4. Overnight guests? Never ____ With roommate’s approval ____ 

5. Frequency of room cleaning? Daily _____ Weekly _____ Every other week _____ 

6. What items will we share? (Please list them below) 

7. What is the preferred method of communication? 

Text ____ In person ____ Group chat ____ Notes/post-its _____ 

8. How will we handle disagreements or problems? 

Talk it out ____ Mediation through RA ____ Anonymous note/email _____  

Other: ___________________ 

9. Is it okay to borrow each other’s things? Yes ____ No ____ Ask first ___ 

10. Can roommates enter each other’s space/side of the room? Yes ____ No ______ Ask first ____ 

11. Anything else you want to address: 

We have discussed and have come to a consensus on the following roommate agreement. 

Signature of Roommate 1 ___________________________  

Signature of Roommate 2 ___________________________