Application form for accommodation at Goldsmiths House

Your information

Your full Name::

Date of birth: Date of birth: 

What best describes your gender? 
Nationality::

Mobile number:: 
Email address:: 

Current address::


Place of study:: 

How did you hear about us?:: 
 

Accommodation Required

Our standard contracts are for 40 weeks or 50 weeks. However, we are happy to accommodate extensions (additional nights or weeks) for early arrivals or longer courses on the official departure date on your contract, where possible.

Preferred Type of Contract*:: 

Room type*:: 

Do you require additional dates? If so please specify below:: 

Gender Allocation Preferences*

: 

*Mixed Sex Areas have mixed gender shower and WC facilities. Please note that we will try to accommodate your requests but this is not always possible.
 

Other questions or comments:

Please note that we will try to accommodate your requests but this is not always possible.
 

About your residence status

Please note that you are responsible for making sure that you have all the necessary documents to prove that you can rent in the UK. We will ask for these documents on arrival and reserves the right to withdraw your offer, if you fail to show sufficient proof. For more information go to: www.gov.uk/check-tenant-right-to-rent-documents

Please read and confirm that you understand the information below*:: 

Do you wish to receive a contract?*:: 

I confirm that the information given on this form is correct to the best of my knowledge, and that no relevant information has been withheld. If I am found to have withheld information now or in the future relating to my application for accommodation, Optivo reserves the right to withdraw any offer made or may request that you vacate the accommodation. I understand that the information provided will be treated in the strictest confidence and according to Optivo's Privacy Notice.