This form is intended for students who are living on-campus for the fall of 2010 and arrive before the RA has checked in the room
Room Condition Inventory (RCI) Form
* denotes a required field.
Walls & Ceilings - Note any medium or large holes or marks
Is the Accustat broken?
Yes No
If broken please describe:
Please note general condition of the closets
Are the closet doors both attached?
Door - Please note general condition
Floor - Please note medium or large stains or burns
Windows - Note any cracks or breaks.
Are SCREENS torn, bent or missing?
Yes No If yes, please explains:
Beds & Mattresses - Note any tears or stains in mattress
Desks & Desk Chairs - Note if drawers do not work. Also note any medium or large scratches or stains on desk or chair
Dressers - Note if drawers do not work. Also note any medium or large scratches or marks on dresser
Bookshelves - Number of shelves?
Note any damage or major scratches:
I have evaluted the conditon of the above room and it's furnishings. I accept responsibility for their care. As a member of the living area, I also accept responsibility for the condition and furnishings of my lounge, restroom, and other public areas until my check-out from the residence.
I Agree I Disagree