Hospital Accommodation booking form

First year students applying for accommodation for full academic year. Offers of accommodation will be made for one academic year, after this you will need to look for accommodation in the private rented sector.

Please insert the dates you would require the accommodation from and until:

If you have a disability/medical requirement that may impact on the type of accommodation that would suit you, please provide details below

Once you’ve submitted this form, staff from the hospital accommodation will contact you about availability and provide instructions on how to make any payment required to secure the room.

I have read and understood the above information and wish to apply for hospital site accommodation.

I understand that if I fail to disclose any facts which are relevant to this application, it could invalidate my application and subsequent occupation.

I understand that submitting this form does not guarantee accommodation, as I will be allocated a room subject to availability at the relevant site.

I understand that by submitting this form, I am giving Anglia Ruskin permission to share my details with the external management companies of the hospital accommodation, and agree that Anglia Ruskin have my permission to notify the management companies if my student status changes during my tenancy. If you have any questions please contact us.

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