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The Umbra Institute in Perugia
Piazza IV Novembre 23
Perugia, Italy 06123
+39 075-775-0101
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6428 Ridge terrace #761
Orlando, Florida 32810
+1 407-917-6699
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Housing Request Form
Agreement
*
The Umbra Institute is a gender-inclusive institution. In order for us to provide you with the most suitable living situation possible, please complete this form. We will try to accommodate everyone to the best of our ability regardless of sex, gender, or gender identity.
I agree to complete this form honestly and accurately to the best of my knowledge
Legal Name
*
Legal First Name
Legal Last Name
Year
*
I am attending Umbra starting in:
Select a Year
2022
2023
2024
2025
Session
*
Choose a Session
Fall
Spring
Summer 1
Summer 2
Both Summer 1 and Summer 2
I'm coming with my professor
Academic Year (Fall & Spring)
I am enrolled in the following program
*
General Studies Program
General Studies Program - Music Option
Food & Sustainability Studies Program
Multicultural Psychology Program
Scholars Program
Direct Enrollment – Università per Stranieri (University for Foreigners)
Direct Enrollment – Università di Perugia (University of Perugia)
Direct Enrollment – Accademia Belle Arti (Fine Arts Academy)
I am enrolled in the following program
*
General Studies Program
Intensive Italian Language through Culture Program
I'm coming with my own professor
Archaeology Field School
Age
*
Home School
*
Please fill out the following questionnaire:
What is your sex?
*
Male
Female
If you would like your gender identity to be considered as part of the housing placement process, please let us know which best matches your gender identity?
Male
Female
Non-binary
Prefer to self-describe (specify below)
Prefer not to answer
How do you prefer to describe your gender identity?
*
If you would like to share your pronoun preferences, please indicate them below.
Which of the following best describes your housing accommodations at your home institution?
*
On campus
Off campus
Which best matches your situation on campus?
*
Shared bedroom
Single Bedroom
Which best matches your situation off campus?
*
Home
In an apartment/house with others (shared bedroom)
In an apartment/house with others (single bedroom)
Please indicate the type of housing you prefer:
*
Apartment with other Umbra students (the most common)
Apartment with Internationals/Italians (mandatory for Intensive italian language students at Università per Stranieri))
Homestay (may incur extra fees)
Do you have someone with whom you would like to be roommates?
*
Important Note:
All roommate requests must be reciprocal or they will not be honored.
Yes
No
What is their name?
*
Please use both first and last names.
Note
If you would like to live with more than one specific person, please separate each person's name with a comma.
Do you smoke?
*
Important Note
It is forbidden to smoke in your apartment and all Umbra facilities.
Yes
No
Would you be willing to live with a smoker?
*
Yes
No
Eating habits: Do you prefer to be housed with
*
No preference
Vegeterian
Gluten Free
Vegan
Do you have any health conditions, physical disabilities, or personal needs that should be taken into consideration regarding your apartment assignment?
*
(e.g., knee problems, recent surgery, celiac disease, food alergy, etc.)
No
Yes (explain below)
Please explain
*
What are your sleeping habits during the week?
*
I go to sleep early (before or around 11pm)
I go to sleep late (after midnight)
On a scale of 1-5, how extroverted/introverted are you?
*
Place yourself on this scale
1 - Introverted
2
3
4
5 - Extroverted
Do you like to have friends over at your apartment (for dinners, to hangout...)?
*
Maybe once a month
Maybe once a week
At least twice a week
I host dinner at my house most nights
My friends practically live with me but don't pay rent
How often do you plan to study?
*
Rarely
Before papers/exams are due
Week nights
Every night
Even when I sleep
Which describes your most effective study environment?
*
In my room alone and focused
In the library to quietly study
In my room with Netflix on and a friend over
At a coffee house with music and a cappuccino
In a small group
Which of the following best describes your cleaning habits?
*
Not even on my radar (when did I last do laundry last?)
Organized chaos (I can find my keys under this pile)
OK (a few dishes and clothes here or there)
Important (I make my bed daily)
Very Important (You could eat off the floor)
What is your level of physical activity?
*
1 - Not active (I prefer to spend my days with a good snack and a film)
2
3
4
5 - Very active (life isn't complete without a full gym membership and daily jog)
Is there anything else you would like us to know about your housing preferences? (optional)
Email
*
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Click to read the full GDPR text as it applies to you
The Umbra Institute follows all privacy regulations relative to EU and US law.
GDPR Agreement
*
I have read and fully understand the Umbra Institute GDPR form. I accept the conditions as stated.