Student vacation booking - online application form

Do not use the RETURN key to move between fields.
You must use the TAB key.

Family Name:

Title:

First Name:

Gender:

PRID number:*

(*your PRID starts with 5 letters followed by 5 numbers:
and appears on your registration card)

Current Address:

E-mail:

Telephone:

(including dialling code)

Mobile No:

Student type:

Accommodation Requirements

Do You Smoke?

(non-smoking flats are not guaranteed)

Do you prefer accommodation in a single gender flat?

(Single gender flats are not guaranteed)

Which type of accommodation would you prefer?:
Please select the accommodation that you would like to apply for with choice 1 being your preferred choice, choice 2 being your second etc... You may request to stay in your current university accommodation, however this is not guaranteed and therefore a second choice is essential.

Please ensure that you have checked the Student Bookings for Summer Vacation Accommodation information prior to making your choices. (This link will open in a new window - You will need to return to this page to complete your application)

Choice 1	Choice 2


Choice 3	Choice 4

When would you like to stay?

Date in:*

*Students living in Private Accommodation may not move in until Tuesday 5 July 2011.
Students on a 39 week let, currently living in University Accommodation, will need to enter an 'Date in' of 02/07/2011 but will move to their new room prior to this date wherever possible. A separate letter will be sent to you with your invoice about move over procedures

Date out:⁺

Additional Information:

Data Protection Statement:
Information submitted via this form is treated as confidential. Data will be used by the University of Essex for the purpose of monitoring and improving website performance and will be deleted when it is no longer needed for this purpose. No personal details will be passed on to third parties.

By submitting this booking form you are agreeing to the booking conditions as laid out in the Conditions governing the booking and occupancy of vacation accommodation . (This link will open in a new window - You will need to return to this page to complete your application)
Any offers of accommodation will be made via email to your current email address. If there are any queries with your application we will contact you via email.

University of Essex

Student vacation booking application form summer 2011