Pre-sessional English Accommodation

Welcome to the Brunel University Accommodation Office

PERSONAL DETAILS
Student Number
First Name/Fore name
Surname/Family Name
Title	Please select Mr Miss Mrs Ms Dr Other
Date of Birth (DD/MM/YY)
Email address (personal or agents)
Please confirm your email address
Contact Number (please include your international dialling code)
Mobile number (please include your international dialling code)
Do you have any criminal convictions (current, spent or pending)?	Yes No
I understand that I am required to disclose any relevant criminal convictions and related information for the tenant/partner/guest as described in the University Disclosure Policy. For further information on the University’s Policy for acceptance of ex-offenders please see http://www.brunel.ac.uk/courses/admissions/criminal-records-bureau
COURSE DETAILS
I will be attending the following Pre-sessional English Course	Please select IPED/IIFE - 30 May 2012 English and IPED/IIFE January 2012 English and IPED/IIFE February 2012 Pre-sessional English 20 week – 18 April 2012 Pre-sessional English 16 week - 16 May 2012 Pre-sessional English 12 week - 13 June 2012 Pre-sessional English 10 week - 27 June 2012 Pre-sessional English 8 week - 11 July 2012 Pre-sessional English 6 week - 25 July 2012 Pre-sessional English 3 week - 15 August 2012 Pre-sessional English for LIBT - 11 January 2012 Pre-sessional English for LIBT 8 February 2012 Pre-sessional English for LIBT – 18 April 2012 Pre-sessional English for LIBT - 13 June 2012 For all other courses please contact accom-uxb@brunel.ac.uk
In 2012/13 I have applied for the following level of study for my main course	Please select Undergraduate Postgraduate/Researcher LIBT Foundation/Diploma LIBT Pre-Masters Other
Do you require campus accommodation for your main course in session 2012/13?	Please select Yes No
ACCOMMODATION OPTIONS
My accommodation preference is	Please select Ensuite (private bath/shower facilities) Standard (shared bath/shower facilities) Studio Flat (co-habiting couples only)
Your contract will begin on the Tuesday before your course start date.
If you would like to arrive earlier please confirm your arrival date. You will be charged at the nightly rate for any extra nights.
What time will you be arriving at the University?	Please select 00:00 - 08:00 09:00 - 17:00 17:00 - 00:00 Unknown
Is there any other relevant information that you wish to provide that may help with your allocation?
Please ensure that you have fully and correctly completed this form. By clicking submit you are agreeing that you have read and understood the application form and declare that to the best of your knowledge the information provided in this application is true.

Submit

If you are experiencing any problems with this application please click here to email the Accommodation Office or call +44 (0) 1895 267 900.