UNIVERSITY OF LONDON

POSTGRADUATE STUDENTS APPLICATION FOR INTERCOLLEGIATE HALLS OF RESIDENCE ACADEMIC SESSION 2009/10 Read the footnotes and Notes for Postgraduate Applicants leaflet BEFORE completing this form using BLOCK CAPITALS throughout. FAMILY NAME: COLLEGE to be attended

FIRST NAMES: MALE / FEMALE DATE OF BIRTH In figures PERMANENT HOME ADDRESS: Delete one DAY MONTH YEAR

ACADEMIC YEAR of study in 2009 / 10 1 2 (Circle one) SUBJECT DEPARTMENT COURSE (eg PhD,MBA, MSc etc.) My offer is CONDITIONAL / UNCONDITIONAL (Delete as appropriate) FOR STUDENTS AT CLEARING ONLY I expect to receive an offer by Insert date 3 4 5 6

TELEPHONE: MOBILE TELEPHONE: EMAIL ADDRESS:

FAX:

(please ensure you complete this field as offers will be made by email)

CORRESPONDENCE ADDRESS Valid from:

If different Until:

TELEPHONE: NAME OF NEXT OF KIN; and ADDRESS

FAX:

I have received and accepted an offer (Delete one) Please give details of any medical conditions or access requirements that you feel the Hall should be aware of when considering your application.

TELEPHONE: RELATIONSHIP: CITIZENSHIP

FAX:

FOR OFFICE USE ONLY

IF ALREADY AT UNIVERSITY, YOUR TUTOR / ADVISOR IS: NAME: DEPARTMENT: COLLEGE: TELEPHONE: EXTENSION: The second photograph should Be of your partner if you are Applying with a partner for Accommodation at Lillian Penson Hall or self catering at International Hall

*Students applying before 10th September 2009 from Birkbeck College, the Institute of Education, Kings College London, London School of Economics and Political Science, Queen Mary, School of Oriental and African Studies, and University College London should not use this form but rather should obtain a composite application form for both College and University residence available from their College Accommodation Office., which should be returned to their College as instructed.

FOR ALL APPLICANTS: This is not used for selection but to assist in the preparation of Electoral Registration Lists. If you are a citizen of the United Kingdom, Eire or the Commonwealth and will be eligible to vote in all British and EU elections after 16th February 2009 please delete as appropriate below. I will be eligible to vote in all British and EU elections YES / NO Delete as appropriate If you are a citizen of another EU member state you will be eligible to vote in British local elections and in elections for the EU parliament. Please indicate below if you are eligible to be registered. I am a citizen of another EU member state and will be eligible to vote in EU elections and British local elections YES / NO Delete as appropriate Failure to indicate your eligibility above may mean that you will not be registered to vote if you obtain a place in an Intercollegiate Hall. Do you want accommodation for the whole session? If No please state which terms are required and give reasons Students should note that it is often worth applying for vacancies in Terms 2 and 3 YES / NO For Term 1 / Term 2 / Term 3 Delete as appropriate Delete as appropriate

DECLARATION: I understand that omission or falsification of this application form renders it invalid and that final acceptance will depend on my agreeing to abide by the Rules and Regulations of the Halls I accept that prompt payment of residence fees as set out in the Regulations is a condition of residence. This is my only application to an Intercollegiate Hall for the coming academic session. (Delete if appropriate after 11th September 2008) Signed_______________________________________ Date_______________________ REMEMBER TO ENCLOSE TWO PHOTOGRAPHS. APPLICATIONS WILL NOT BE CONSIDERED WITHOUT PROOF OF FULL-TIME UNIVERSITY OF LONDON STUDENT STATUS

SINGLE APPLICANTS
PLEASE NOTE THAT ALL HALLS ARE STRICTLY NON-SMOKING Hall Application in Order of Preference (From 1-14, where 1 = first choice and so on) Gardens Halls (incorporating Hughes Parry, Canterbury and Commonwealth Halls) College Hall double ensuite room COUPLES ARE GIVEN FIRST PRIORITY College Hall single ensuite room Cost per night 19.65 23.90 36.40 Preference

(Used to match students to shared places only) Tick as appropriate YES NO

Indicate if you generally go to bed early (ie before 11pm)

28.35 If you have a friend with whom you wish to share please submit your forms together and give friends:

College Hall single room

23.80 16.65 19.65

NAME: COLLEGE: COURSE/DEPARTMENT:

Connaught Hall single room

Connaught Hall shared twin room

16.65

International Hall single room International Hall single studio (ensuite shower room, light cooking facilities) International Hall double studio (ensuite shower room, light cooking facilities) COUPLES ARE GIVEN FIRST PRIORITY Lillian Penson Hall single ensuite room

20.80 PERSONAL: Activities, Interests, and Religion

24.15

27.90

18.00 21.30 13.00 24.50 27.50 16.00 19.90 15.70 Students should note that Religion is an optional question but may be used as a factor when allocating shared rooms.

Lillian Penson Hall shared twin ensuite room

Lillian Penson Hall single ensuite studio

Nutford House single room

Please indicate the MAXIMUM rent you can afford ( sterling per week):

Nutford House shared twin room

APPLICANTS WITH PARTNERS PLEASE NOTE THAT ALL HALLS ARE STRICTLY NON-SMOKING
LILLIAN PENSON HALL NAME OF PARTNER: Please place the following types of accommodation in order of preference 1 5 (1 being most wanted) Double room with bathroom Double room with bathroom and open-plan kitchen Double room with bathroom and separate kitchen Double sitting room with bathroom and separate kitchen Double bedroom with separate sitting room, bathroom and kitchen Please indicate the MAXIMUM rent you can afford each week (in sterling): (all rents are given above per night) Please indicate the dates you require the accommodation: Cost per night 25.00 31.50 33.50 35.25 38.00 Preference

COLLEGE HALL NAME OF PARTNER: Double ensuite room (catered) 36.40

APPLICANTS WITH PARTNERS / CHILDREN PLEASE NOTE THAT ALL HALLS ARE STRICTLY NON-SMOKING
INTERNATIONAL HALL Please place the following types of accommodation in order of preference 1 4 (1 being most wanted) Double studio, ensuite shower room, light cooking facilities (no children are permitted) 1 double bedroom, ensuite shower room, kitchen/dining room 1 double bedroom, living/dining room, kitchen, shower room 1 double bedroom, living/dining room, kitchen, bath room 1 double bedroom, ensuite shower room, living/dining room, kitchen, store room 1 double bedroom, adjoining study, living/dining room, kitchen, shower room 1 double bedroom, 1 single bedroom, kitchen/dining room, bath room 1 double bedroom, 1 bedroom with single bunk beds, living/dining room, kitchen, shower room Large maisonette on ground and first floors. 1 double bedroom, living room, dining room, study, kitchen, bath room, entrance hall Large maisonette on lower ground and ground floors. 1 double bedroom, 1 bedroom with single bunk beds, living room, dining room, study, kitchen, bath room, entrance hall. Flat Type Code DS A B C D E F G/H I Cost per night 27.90 37.15 40.95 41.60 42.15 42.15 42.50 46.25 54.50 Preference

58.75

NOTE: Several flats have sufficient space for a cot. Flats I and J have a flexible layout and can accommodate various sizes of family in 1,2 or 3 bedrooms. Details on request. Please indicate the MAXIMUM rent you can afford each week (in sterling): (all rents are given above per night) Please indicate the dates you require the accommodation: PLEASE PROVIDE THE FOLLOWING DETAILS OF FAMILY MEMBERS SHARING ACCOMMODATION: NAME: DATE OF BIRTH: RELATIONSHIP TO STUDENT: ...