applyhere-carrmillsstudents.docVIP

Carr Mill Student Living Application Form 2016/2017 PLEASE COMPLETE THE FOLLOWING IN BLOCK CAPITALS House/Room Number 1. Family Name/Surname 2. First Name/Given Name 3. Title □ Mr □ Ms □ Mrs □ Miss 10. Dates accommodation required from 3rd September 2016 50weeks 24th September 2016 42 weeks Your first rent payment is due one week prior to your contract start date and must be paid in full by cleared funds or your room will be cancelled. 4. Sex □ Male □ Female  11. Which University/College will you be attending? 12. What type of student are you? Please tick 6. Nationality 12b. □ International Foundation Program □ Undergraduate □ Postgraduate 12c. □Full time student □ Part time student 12d. Please tick which year applies. □ 1 □ 2 □ 3 □ 4 □ pg You will need to provide the Letting Officer with a council tax exemption form confirming your student status within one week of taking up residence. 13. How did you hear about Carr Mills? □ Word of Mouth □ UCAS □ Lettings Agent □ Unipol □ Your University/College □ Our Website/Leaflet □ Other Please specify 14. Where did you live last year? Please tick □ Home □ Private landlord in Leeds □ University Hall of Residence Please specify □ Private Halls of Residence in Leeds Please specify □ Other Please specify 9. Guarantor Contact Details Must be Parent/Guardian/Partner, if you are under 18 Name What is your relationship? Address if different from home address Postcode Country Telephone Number Mobile Email 16. Preferences. Please choose your preferred room type. Premium Room □ ￡87.00 50 week contract Premium Room □ ￡95.00 42 week contract Standard Room □ ￡79.00 42 week contract Please note all double bedrooms are for SINGLE OCUPANCY ONLY. Please see our website for full room and house specifications. Signature Please return this form to: The Lettings Office, Carr Mill, Buslingthorpe Lane, Leeds, LS7 2DG Telephone: +44 0 113 262 0102 Email: ian.denny@ 18. To Apply A room reservation payment of