Students Staff

Revision and resit accommodation booking form

Revision and resit accommodation booking form
Title:*
  
Firstname(s):*
   
Family name(s):*
   
Gender:*
   
Date of birth:* (format DD/MM/YYYY)
     
Nationality:*
   
PRID:*
   
 
Current address 1:*
   
Current address 2:
Current address 3:
Current address 4:
Current postcode:*
   
 
External e-mail address:*
   
Please note: All offers and correspondence will be by email to your Essex email address.
Telephone (including dialling code):
Mobile number:*
   
Accommodation requirements
Please note: From September 2013 all university accommodation became non-smoking.
Would you prefer accommodation in a single-gender flat?


Please note: single-gender flats are not guaranteed
Accommodation choices
Accommodation includes all bed linen and a towel.
Please select the accommodation that you would like to apply for, with choice 1 being your preferred choice, choice 2 being your second.
Please ensure that you have looked at the residence descriptions.
Choice 1:*
   
Choice 2:*
   
When would you like to stay?
Date in:*
     
Date out:*
     
Additional information:
Please note: Although we will always do our best to offer you accommodation in one of the locations of your choice, this isn't always possible.

Data protection statement
The University of Essex has a notification under the terms of the Data Protection Act 1998 to enable it to hold and process personal data about its students and landlords for the purposes of providing accommodation for its students. Data will be processed in accordance with the provisions of the Act and will only be disclosed within the University to members of staff who need to know it in order to carry out their duties, or to others connected with the University for University-related activities or events. Data will only be disclosed to a third party outside the University in accordance with the Act.

Thank you for completing this form. Please check that your details are correct and then click SUBMIT. By submitting this form you are agreeing to the booking conditions as laid out in our policies. We will be in contact by email regarding your application so please check the e-mail account you gave us on this form regularly.

If you have an queries about this form then please contact us at vacaccom@essex.ac.uk.