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Accommodation request form for new students
Your details
Please note * indicates this is a compulsory field
Family/Last name *
Please enter your family/last name.
First/Given Name *
Please enter your first name.
Title *
Please Select....
Ms
Miss
Mr
Mrs
Dr
Other
Please enter your title.
Gender *
Please Select....
Female
Male
Please enter your gender.
Date of Birth (DD/MM/YYYY) *
Please enter your date of birth.
Contact Address *
(i)
Please enter your contact address.
Contact Address Postal Code
Home/Main Phone Number *
Please enter your phone number.
Mobile/Extra Phone Number
Contact Email address *
(i)
Please enter your email address.
Course details
Personal ID or application number
(i)
Programme applied for at LJMU (first choice if several) *
Please enter the Programme applied for at LJMU.
Is your place at LJMU currently?
(i)
*
UF
CF
CI
Other
Please enter your type of place.
Other - please explain
Please explain 'other'.
Do you intend to make LJMU your first choice university
Yes
No
Accommodation details
First choice accommodation *
Please Select....
Apollo Court
Atlantic Point
Cambridge Court
Europa NON SMOKING
Liberty Park
Marybone 1 NON SMOKING
Marybone 3 NON SMOKING
Opal Court NON SMOKING
Prospect Point
Please select your first choice.
Please select one of the options above first
Please select a type.
Second choice accommodation *
Please Select....
Apollo Court
Atlantic Point
Cambridge Court
Europa NON SMOKING
Liberty Park
Marybone 1 NON SMOKING
Marybone 3 NON SMOKING
Opal Court NON SMOKING
Prospect Point
Please select your second choice.
Please select one of the options above first
Please select a type.
Third choice accommodation *
Please Select....
Apollo Court
Atlantic Point
Cambridge Court
Europa NON SMOKING
Liberty Park
Marybone 1 NON SMOKING
Marybone 3 NON SMOKING
Opal Court NON SMOKING
Prospect Point
Please select your third choice.
Please select one of the options above first
Please select a type.
Gender preference *
(i)
Please select....
Mixed gender
Single gender
No preference
Please enter your gender preference.
Smoking preference *
(i)
Please Select....
Smoking
Non smoking
No preference
Please enter your smoking preference.
Do you require parking?
(i)
Please list any friends with who you would like to share your flat
(i)
Please list any special requests or requirements
(i)
Guarantor Details
(i)
Guarantor name
Relationship to you?
Please select....
Mother/Father/Guardian
Brother or Sister
Uncle or Aunt
Other
Does your guarantor have the same address as you?
Yes
No
Guarantor address
Guarantor telephone number
Submit
Please tick the box to indicate that you agree that LJMU can use the information provided to process your request and can pass it to the owner of your chosen accommodation and to LJMU's Student Advice & Wellbeing department if appropriate. Please view the data protection statement on this
page
for further information. *
Please tick.
Introduction
Guidance notes
Legal statements
Getting a response
Accommodation request form
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