Room Condition & Inventory Form for Campus Housing
This form serves as your protection concerning the condition of your room. Carefully record all the marks, damages or issues you see in your room. Pictures are extremely helpful in documenting noted damage so please upload photos before submitting!
Name
*
First Name
Last Name
Student 5 Digit ID Number
*
Cell Phone Number
format - 630-752-0000
I live in a residence hall, apartment or house
*
Residence Hall
Apartment
House
Apartment Building
1047 Terrace
1051 Terrace
1055 Terrace
1057 Terrace
802 College Avenue
814 College Avenue
818 College Avenue
904 College Avenue
916 College Avenue
418 Saint&Elliot
424 Saint&Elliot
430 Saint$Elliot
701 Michigan
705 Michigan
709 Michigan
700 Crescent
704 Crescent
708 Crescent
Apartment Number
Campus House
Bamford Lower
Bamford Upper
Batson
Best
Campbell Lower
Campbell Upper
Fellowship House
Fine Arts
Hollatz Lower
Hollatz Upper
Graham
Hearth
Hunter
International-Grad
Kay
Kilby
Mathetai
Nelson Lower
Nelson Upper
Outreach
Perkins
Phoenix
522 E. Harrison
Swartz Upper
Swartz Lower
Teresa
White
Wright
Residence Hall
Fischer
Smith
Traber
McManis
Evans
Williston
Fischer Floor
1West
2West
3West
4West
5West
2East
3East
4East
5East
3South
4South
5South
Traber
Traber 2
Traber 3
Traber 4
Traber 5
Traber 6
Traber 7
Smith
1 South
2 South
3 South
2 East
3 East
Williston
Williston 1
Williston 2
Williston 3
Evans
Evans Lower Level
Evans 1
Evans 2
Evans 3
Evans 4
McManis
McManis 1
McManis 2
McManis 3
McManis 4
Room Number
Room Condition Inventory
Condition
Description
Like New
(4)
The item looks as if it were almost brand new.
Very Good
(3)
An item that is used but still in very good condition. There may be a few minor scratches or very little wear on the item.
Acceptable
(2)
An item with visible signs of usage but is still operational. Item may have small stains present.
Poor
(1)
Item is damaged and reaching the end of usefulness.
Student is responsible to complete the "Check-In" condition. ResLife staff will complete the "Check-Out" condition.
Please List Significant Damage (red stain on the carpet, chunk of cement missing from left wall, large dent in the closet door)
Indicate Condition of your Room (1-4)
Walls of rooms (3 black marks, sticky tack, gouges, holes)
Walls in bathroom (if applicable)
Ceiling (2 marks, scrapes, sticky tack)
Doors (room, bathroom, and closet
Emergency escape route sign
Window
Window blinds
Window screen (any holes)
Carpet/Floor (Stains, duct tape marks
)
Closets (visible marks/damage)
Bed Frame
Mattress (specify top or bottom bunk)
Desk
Desk Chair
Dresser
Bookshelf
Heater Unit and Temperature control
Light Fixtures
Waste and Recycle Basket (2)
Shower (if applicable)
Toilet (if applicable)
Sink/Mirror/Towel rack/Counter Top (if applicable)
Check-in Comments: (Describe any visible damage)
Signature
Apartment Condition Inventory
Condition
Description
Like New
(4)
The item looks as if it were almost brand new.
Very Good
(3)
An item that is used but still in very good condition. There may be a few minor scratches or very little wear on the item.
Acceptable
(2)
An item with visible signs of usage but is still operational. Item may have small stains present.
Poor
(1)
Item is damaged and reaching the end of usefulness.
This form serves as your protection concerning the condition of your room. Carefully record all the marks, damages or issues you see in your room and return this form to your Apartment GRA. You will be billed after you check out for those missing or damaged items not recorded at check in. Every resident is responsible for the condition of the apartment at the time of checkout. We encourage you to take pictures of room damage if that would be more helpful to document the condition of your apartment.
Select Room Condition (see scale definition above)
LIVING ROOM-Including Hallways -Ceiling
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall Walls
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall-Doors
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall-Windows/Screen/Blinds
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall -floors
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall side chair/sofa
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall-temperature control unit
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall-light fixtures/lamps
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall-garbage, recycle bins,waste baskets
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall-Apartment properly cleaned
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Living RM/Hall-Storage Cage
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
KITCHEN -Oven
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Table and Chairs
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Refrigerator
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Sink
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Counter Tops/Cabinets
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Floors
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Walls
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom-shower
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Toilet
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Sink
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Mirror/Towel Rack,etc.
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom Walls
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom Floors
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
BEDROOM -desk organizer
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Desk Chair
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Book Shelf
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Dresser
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Mattresses
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bed Frame
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Closet
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Walls
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Check-in Comments: (Describe any visible damage)
Signature
House Condition Inventory
Condition
Description
Like New
(4)
The item looks as if it were almost brand new.
Very Good
(3)
An item that is used but still in very good condition. There may be a few minor scratches or very little wear on the item.
Acceptable
(2)
An item with visible signs of usage but is still operational. Item may have small stains present.
Poor
(1)
Item is damaged and reaching the end of usefulness.
This form serves as your protection concerning the condition of your room. Carefully record all the marks, damages or issues you see in your house. You will be billed after you check out for those missing or damaged items not recorded at check in. Every resident is responsible for the condition of the house at the time of checkout. We encourage you to take pictures of room damage if that would be more helpful to document the condition of your house.
Select Room Condition (see scale definition above)
General Living Area-Ceiling and Walls
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-Doors
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-Windows/Screen/Blinds
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-Carpet/Floor
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-Side Chair/Sofa
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-Temperature Control Unit
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-Garbage, Recycle bins,Waste Baskets
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-Light Fixture, lamps
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-house properly cleaned
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
General Living Area-basement free of belongings
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Kitchen -Oven
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Kitchen-Refrigerator
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Kitchen-Sink
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Kitchen-Counter/Cabinets
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Kitchen-Floors
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #1 shower
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #1 toilet
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #1 sink
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #1 mirror/towel rack.etc.
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #1 floor
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #1 walls
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #2 shower
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #2 toilet
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #2 sink
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #2 mirror/ towel rack/etc.
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #2 floor
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Bathroom #2 walls
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Your Bedroom - desk organizer
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Your Bedroom -desk chair
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Your Bedroom-book shelf
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Your Bedroom -dresser
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Your Bedroom -mattress
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Your Bedroom - bed frame
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Your Bedroom -closet/walls/ceiling
Like New (4)
Very Good (3)
Acceptable (2)
Poor (1)
Check in Comments: (Describe any visible damage)
Signature
Attach Photos of Noted Damage
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