Please complete and return this form as soon as possible so that we are aware of your accommodation requirements to:
FAMILY NAME / FIRST NAMEEMAIL ADDRESS / TELEPHONE / MOBILE
DATE OF BIRTH
23/03/1997 / MALE / FEMALE / NATIONALITY
DATE OF ARRIVAL IN LEEDS/UK FLIGHT INFORMATION Which AIRPORT/ TRAIN or COACH STATION?
I INTEND TO STAY WITH MY FRIENDS/RELATIONS ¨
I INTEND TO APPLY TO ONE OF THE STUDENT RESIDENCES:
Liberty Living (16+) ¨ iQ Leeds (age 18+) ¨ MSV on Burley Road (17+) ¨ Unite’s The Plaza/Sky Plaza (age 18+) ¨ Other ¨
I WOULD LIKE TO LIVE WITH A HOMESTAY HOST FOR A FEW MONTHS ¨X FOR A FULL ACADEMIC YEAR ¨
HOMESTAY ONLY:
(Please note: most homestay families have a pet. Your choice of homestay is wider if you are able to live with a pet.)
DO YOU SMOKE?
WOULD YOU LIVE IN A HOUSE WITH A SMOKER?
WOULD YOU LIVE WITH A CHILD/CHILDREN?
WOULD YOU LIVE IN A HOUSE WITH A PET? / YES NO DON’T MIND COMMENT
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DO YOU HAVE ANY MEDICAL PROBLEMS ?
Give details. / DO YOU HAVE ANY SPECIAL DIETARY REQUIREMENTS?
e.g. allergies, kosher, vegetarian / give details
N/A
PLEASE GIVE ANY ADDITIONAL PERSONAL INFORMATION Do you have any special interests e.g. Hobbies. How would you describe your personality? E.g. serious, cheerful, shy, sociable, quiet?
Includes / Excludes / Advantages / Disadvantages / Weekly Cost
Homestay
Private study bedroom in a family house.
College can arrange homestay on your behalf. / Breakfast and evening meals (lunch too at weekends)
Heating/ lighting and water bills
Washing / Telephone bill / Meals are provided
You can practise your English
Easier to budget / You may not always like the food.
Most homestays are not in the city centre.
Additional expense of bus fares and journey time. / £154 per week
Student Residences
Students apply directly on line. The most popular residences with our students are: Liberty Dock or Park, CLV, iQ, The Plaza/Sky Plaza.
www.libertyliving.co.uk (Liberty Dock or Park) (age 16 +)
www.iq-student-accommodation.com (iQ)
www.unite-students.com (Plaza/Sky Plaza)
www.mystudentvillage.com/uk/leeds/burley-road/ (MSV on Burley Road) / Heating, lighting and water bills
Contents insurance
Internet
Ensuite facilities / Meals
Telephone
Washing / Within walking distance of the city centre and the college.
No expense of bus fares.
There are different types of rooms available in different price bands. / You have to prepare your own food and do your own shopping. / £103 - £261 per week
Important! We recommend that students under the age of 18 stay in homestay. However, if you feel that your son/ daughter is able to live independently, they may do so at your own risk and with your written permission.
Please note that although every effort will be made to take individual preferences into account, we are unable to make any guarantees on the options specified by you above.