APPLICATION TBYB

I consent to my personal data being processed in accordance with the privacy policy of Heathfield (Norwich) Ltd. in relation to my application to live at Heathfield. (required)

Field is required!
Field is required!

Please help us by checking that your answers are clear and complete. It will help us to process your application efficiently.

Your first name (required)
Field is required!
Field is required!
Your last name (required)
Field is required!
Field is required!
Current address
Field is required!
Field is required!
Home address (required)
Field is required!
Field is required!
Your email address (required)
Field is required!
Field is required!
Mobile phone number (required)
Field is required!
Field is required!
Gender
Field is required!
Field is required!
Date of birth (required)
Field is required!
Field is required!

Studying at / Applying to

Field is required!
Field is required!
*Other - please specify
Field is required!
Field is required!
Course title (required):
Course title
Field is required!
Field is required!
Level of study in September 2021 (required)
Field is required!
Field is required!

When will you need accommodation? (required)

Field is required!
Field is required!
*Accommodation requirements if other than a standard contract:
Accommodation requirements
Field is required!
Field is required!
Do you have any access requirements?
Field is required!
Field is required!
*If Yes, please specify your access requirements. For example, would you prefer to be allocated a room in the flat reserved for women only?
Details
Field is required!
Field is required!
If you have a car, you can book a parking space at Heathfield for GBP12 per month. Will you want to book a parking space?
Field is required!
Field is required!
Period(s) I will need a car parking space:
dd/mm to dd/mm
Field is required!
Field is required!

I expect to arrive in Norwich on (add below the date *and time* you expect to arrive in Norwich)

Select a date
Field is required!
Field is required!
Select a time
Field is required!
Field is required!

Please only come if we have confirmed we can welcome you. It is no problem if you need to arrive outside normal working hours.

How did you hear about Heathfield Student Community Home?
Field is required!
Field is required!
Tell us what you expect from living in a student community home, and what you think you would be able to bring to it. (required)
Field is required!
Field is required!
Is there anything else you would like us to know?
Field is required!
Field is required!