Roommate Agreement

 

Apartment _____________________________________________________

Lease Dates ___________________________________________________

Roommates _______________________, ____________________________,

__________________________, ___________________________________

 

INSTRUCTIONS: After reading an item, each roommate marks his/her individual response. If responses

are different, discuss the difference and reach an understanding on that issue with which both roommates

can live.

 

I. BREAKING THE ICE

a. Have you ever had a roommate before?

YES / NO

If so, what was it like for you? ________________________________

b. My hobbies and interests include: ________________________________

c. The things I value are: ________________________________

d. My lifestyle choices include (i.e. alcohol use, vegan) ________________________________

 

II. USE OF EACH OTHERS’ BELONGINGS

You may use the following possessions of mine:

a. Stereo/CDs

YES / NO

b. TV

YES / NO

c. Clothes

YES / NO

d. Personal Care Items

YES / NO

e. Computer

YES / NO

f. Appliances (microwave, refrigerator, etc.)

YES / NO

g. Furniture

YES / NO

h. Food

YES / NO

i. Other _________________________________YES/ NO

If items may be used, under what circumstance:

a. Without asking

YES / NO

b. Only with asking first

YES / NO

c. By guests and visitors

YES / NO

If consumables are used, (ie food, soap, paper, etc…)

a. They must be replaced

YES / NO

b. They do not have to be replaced

YES / NO

List other items or issues, and how you will handle them:

 

III. HOW WE WILL USE OUR HOME

Prioritize the way in which you would like to use your home:

Sleep __________

Study __________

Socializing __________

I expect to go to bed by: ______________________________________

I expect to get up most mornings by: ______________________________________

I usually take naps at: ______________________________________

I plan to study in at: ______________________________________

I plan to socialize at: ______________________________________

Will alcohol be allowed in the home? ______________________________________

Will smoking be allowed in the home? ______________________________________

When we would like to use the home for different purposes at the same time, we will

compromise as follows:

 

IV. VISITORS

Visitors will be allowed in the home when:

a. I am home, but not studying

YES / NO

b. I am not home

YES / NO

c. Anytime I am not trying to sleep

YES / NO

d. _________________________________

YES / NO

The number of visitors at any one time will be limited to: ________________

Visitors may use my belongings:

YES / NO

Boyfriends/Girlfriends/Partners are:

a. Okay when I am around

YES / NO

b. Okay only at certain times (specify) ____________________

c. Okay whenever I am not sleeping

YES / NO

d. Other ____________________

I agree to allow overnight visitors

YES / NO

List additional reasons and times whereby other people may be in the home:

 

V. CARE OF OUR HOME

Indicate how frequently, who will be responsible, and specifically when each of the following will happen:

Empty trash _____________________________________

Vacuum ________________________________________

Dust ___________________________________________

Wash Dishes____________________________________

Other chores ____________________________________

_______________________________________________

If the condition of the home becomes a concern for either roommate, we agree to resolve the concern

by:

 

VI. SECURITY

I will keep the door locked when I am not in the home YES / NO

I will not share my keys with anyone else

YES / NO

 

VII. PET PEEVES

Things that really bother me are:

At this point you should have had a chance to establish some working ground rules for your home. It is

important to continue discussing issues as they arise. The Roommate Agreement is only a starting place.

We, as roommates, enter into this agreement fully intending to work cooperatively with each other and to

discuss any concerns or issues that may arise.

 

 

 

Roommate Signatures:

__________________________________________

__________________________________________

__________________________________________

__________________________________________