2017/18 Undergraduate Accommodation Application Form

Section A: Personal Details

UCAS personal ID / Home phone number
Family Name
Other Name(s)
Gender / Mobile phone number
Date of Birth
Home address
Postcode/Zip code
Please note that future correspondence will be conducted via email. You should provide an email address that you regularly check for incoming messages and will have constant access to throughout the summer.
Please also add The University of Nottingham domain ‘@nottingham.ac.uk’ to your list of safe senders.
Email address

Section B: Students with individual requirements

B.1 – Students with disabilities

The Equality Act 2010 defines a person with a disability as someone who has a physical or mental impairment, which has a substantial and long term adverse effect on his or her ability to carry out normal day to day activities.

Do you consider yourself to have a disability as defined by the Equality Act?

(If yes, please detail what adjustments/facilities you will need in your accommodation in the below.)

B.2 – Students with specific personal requirements

Have you any specific accommodation requirements that we should be aware of when allocating you accommodation (such as medical, single/mixed sex preference, alumni or religious reason)? You can also name one friend that you would like to be in the same hall as or share a bathroom with.

(If yes, please provide details in the below. If you have a medical condition you must provide written supporting documentation.)

Section C: University arranged accommodation

Order your preferences from the options provided below. You will need to uniquely number six options with ‘1’ being your preferred choice.

Details on sites and rooms can be found online: http://www.nottingham.ac.uk/accommodation/accommodationoptions/accommodationoptions.aspx

The earlier you apply the better to maximise the chances of being assigned one of your top preferences as we allocate by date order. We are unable to accept requests for specific buildings, blocks or halls within an accommodation site.

Please return this form

Catered accommodation / Shared Study / Single Study / Single Study Plus / Shared Bathroom Plus / Shared Bathroom / En suite / En suite Plus
University Park
Jubilee Campus
Self-catered accommodation / Standard / Standard Large / Standard Plus / House / En suite / Large En-suite/ En-suite Plus / Studio / Large Studio / Twin Studio
Albion House
Broadgate Park
Raleigh Park
St Peter’s Court

Section D: Confirmation

I have read the information on accommodation and accept the conditions of the accommodation guarantee. I understand that the information contained in this form will be used by The University of Nottingham for the purposes of assessing my application for accommodation.

I accept that The University of Nottingham may retain or pass on relevant information about me to central departments within the University and partnership external developers in pursuit of their legitimate business. I accept that an accommodation advisor may contact me to discuss any information I have provided in the section for individual requirements.

Applicant’s signature ______Date ______

(Forms returned by email will be considered as agreement to the above statement and no signature is necessary.)