Application form

Thank you for your interest in living at Heathfield Community Student Home. Please complete this application form. The inclusive rent is £396 per calendar month, payable on 1st of each month (2018/19 prices). A deposit of one month’s rent is required. The standard length of contract is 46 weeks. A longer contract can be negotiated.


Your rights when we hold your data

The personal data in this form is being processed in accordance with the EU General Data Protection Regulation (GDPR). The data is being sent to Heathfield (Norwich) Ltd., which is the Data Controller under the terms of the GDPR. If you decide to come and live at Heathfield your data will also be processed by HomeLet, who act as agents for Heathfield (Norwich) Ltd. The information you give means we can allocate you an appropriate room, and it enables us to comply (a) with the law on right to rent and (b) with regulations on council tax.

Your data will be retained for the period specified in the Heathfield Data Security Statement, which you can consult elsewhere on our website.

Your data will be stored securely. You are entitled at any time to see the information we hold, and if it is inaccurate/incomplete, you are entitled to request that it be corrected/completed.

You are free at any time to withdraw your consent to our processing or retaining your data. You need to be aware that if you do so, we shall not be able to draw up a contract for you to live at Heathfield. To withdraw consent, please email Once you have been in contract with us, we are obliged by law to retain the data for the period specified in the Data Security Statement.

I consent to my personal data being processed by Heathfield (Norwich) Ltd. and by HomeLet in relation to my application to live at Heathfield. (required)
Consent 1

I consent to my personal data being retained by Heathfield (Norwich) Ltd. in accordance with the Heathfield Privacy Statement. (required)
Consent 2

Application form

First name (required)

Last name (required)

Current address (required)

Email (required)

Phone number (required)


Month of birth (mm/yyyy) (required)

Studying at / Applying to

*Please specify (Please note that students studying at / applying to UEA and NUA will be given priority.

Course title (required)

Qualification you hope to achieve (required)

Level of study during 2018-19 (required)

When will you need accommodation?

*Accommodation requirements if other than a standard contract:

Do you have any access requirements?

*If Yes, please specify your access requirements. For example, would you prefer to be allocated a room in the flat reserved for women only?

If you would like, you may give the names of any friends who will also be studying in Norwich and who would like to be in the same flat. Please note that each person must make their own application.

Friend(s) you would like to share with:

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?

Period(s) (dd/mm to dd/mm) I will need a car parking space:

Visiting Heathfield:

We ask all applicants to visit Heathfield before signing a contract. You are welcome to visit during Reception open hours, Monday to Friday 9-11am (most of the year) and 5-7pm (until 31 July only).
Using the box below, please tell us a date and time when you could visit. If for any reason that time/date is not suitable we will get in touch to rearrange, but if you don't hear from us we shall expect you at the time you have given.
(If you are unable to visit during Reception hours, we may be able to show you round by arrangement outside Reception hours, and possibly on a Saturday. If you give a time outside Reception hours, please only come if we have confirmed we can welcome you.)

How did you hear about Heathfield Student Community Home?

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)

Is there anything else you would like us to know?