You are reminded that Accommodation contracts are legally binding and by signing an offer of accommodation you are entering into a legal agreement
payment for summer stay accommodation must be paid in full in advance of arrival.
Summer stay accommodation may be subject to maintenance and cleaning, For this reason It may be that you are asked to move room during your stay but you will be advised of this well in advance
Family/Surname / Gender M  F  / Have you previously attended this University?
Yes  No 
Forenames/Christian / Summer Accommodation Required
Arrival Date
Departure Date
Student Application /UCAS Number: / Date of Birth
Nationality / ESSENTIALS
Residential Services does not supply linen in bedrooms for stays longer than 5 days
OPTION 1
 I will purchase a pack from the On Line Store ( wish to purchase an Essentials Pack
OPTION 2
 I will bring my own
Reason for Stay:
Where will you be living following this stay (Please delete as necessary) :
  • University Accommodation (Please give Address)
  • Private Accommodation
  • Other please state)

Home Address / Contact Address (if different)
In the event of an emergency contact::
Full name
Address / Telephone
Home
Mobile
Email address:
If you are new to university accommodation for this booking2010/11 a comprehensive personal possessions insurance package can be arranged from 25 June 11 to 14 September 11 at a charge of £16. Please advise if you wish to take up this offer
 Yes I would like personal possessions insurance
 No I do not wish to arrange personal possessions insurance
  • Please note that all of our University managed accommodation is international communities, based on values of inclusivity and mutual respect. Students applying to live with us should expect to live with people from a variety of culture and religions. If however you have any special preferences, for example on the grounds of country of origin, faith or gender, pleaseinformus accordingly and we will seek to respond positively to your request.
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Smoke Free Policy: The University of Sunderland aims to promote the health and well being of its students, staff and visitors by providing a smoke free environment within the halls of residence.You are advised the halls are smoke free. This policy will apply to all residents and their guests at all times. I accept the University no smoking policy 
  • Do you have any special requirements, such as disability or health issues, which we may need to take into consideration before allocating accommodation.
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We need your permission to pass on this information to other university staff i.e. Support Network
 Yes I give permission to pass on this information to other university staff
 No I do not give permission to pass on to other university staff

Signed ……………………………………………………………………………………Date ………………………………………

In applying I confirm that I have read and agree with the terms set out in the University of Sunderland's Residential Service Code of Practice available at