Application Form

Application form for long stay accommodation. Please complete all fields before submitting your application as incomplete forms cannot be processed.

We are delighted that you wish to apply to International Students House for long stay accommodation. Please complete the form below and e-mail us the required documentation and we will be in touch as soon as possible.

About You

Title *

Family Name *

First Name *

Middle Initial(s)

Date of Birth (dd/mm/yyyy) *

Place of Birth *

Nationality *

Passport Number: *

Date of Issue *

Place of Issue *

Permanent/Family Address *

Line 1
Line 2
Town
County
Postcode
Country

E-mail Address *

Telephone Number (including area code) *

Fax Number (including area code)

Correspondence Address (if different from above)

Line 1
Line 2
Town
County
Postcode
Country

Telephone Number (including area code)

Fax Number (including area code)

About your university and course

Academic Institution (at which you will undertake study) *

Subject *

Degree/Qualification *

Duration of Course

Are you an approved ISH Bursary student? *

Accommodation Requirements

Length of stay required

From *

To *

Please tell us, in order of preference, which type of accommodation you would prefer

	Single	Twin	Triple	Dormitory
1st Choice
2nd Choice
3rd Choice
4th Choice

Financial Information

Please indicate your source of financial support during your stay at ISH. *

If you selected 'other' please indicate how you will fund yourself whilst staying at ISH

Medical and Emergency Information

Please provide us with a list of any serious illnesses that you have had over the last five years.

Please tell us of any allergies that you have.

Please tell us of any disabilities that you feel we would need to consider alongside your application.

Details of person(s) to contact in case of emergency

Name *

Address *

Line 1
Line 2
Town
County
Postcode
Country

Telephone Number *

E-mail Address *

Relationship to you *

Insurance Policy Number

How did you hear about International Students House? *

By ticking this box you certify that the above information is accurrate and true and that you agree with our terms and conditions.

Please tick the box to complete your application process. *

Required documents

Please upload verification of your full-time status as a student, trainee, intern or research scholar. Verification may be a scanned copy of any formal letter that you have received either from the institution of study or company offering you an internship. *

Please upload documentation that verifies your financial support. *

Please upload a recent photograph of yourself. *