Havering College of Further and Higher Education

Overseas Student Accommodation Form

Applicants name:

Student IDDate EnteredEntered by

  • Only complete after you have been offered a place on a course.
  • Please answer all questions in black ink. Use BLOCK CAPITALS and tick the relevant boxes.
  • Please complete ALL sections if you want us to arrange your accommodation.
  • Otherwise only complete sections C and D.

Completed forms should be returned to:

Threshold Services

International Business Development

Havering College of Further &Higher Education

Brentwood Centre

81-85 High Street

Brentwood

Essex CM14 4RR

United Kingdom

Or by email/fax:

Fax +44 1708 462768

If you have any questions about completing this form please email

telephone +44 1708 462704

Last Name(s)

First Name(s)

Date of Birthay Title: Mr Miss Ms Mrs Gender M F

Email Address

Nationality: / Passport Number:
Home Address:
Country:
Home Tel: / Mobile:
Email Address:

Would you like us to find you accommodation? Yes No

If yes, what type of accommodation would you like?

Host family single Shared student accommodation (own bedroom) Host family (shared bedroom)

Would prefer to share with:

Dates accommodation required (if possible you should arrive on a Sunday and leave on a Saturday)

Number of weeks:

FromTo

Do you smoke? Yes No (it is sometimes difficult to find suitable smoking accommodation)

Would you live with a family who smoke? Yes No

Would you live in a home with children? Yes No

Would you live in a home with a pet? Yes No

Do you have any special dietary requirements? Yes No

Would you like to be met at point of arrival in the UK? Yes No

(Please note students will be charged for this service)

If “yes” please give the following details

Arrival Airport: Heathrow Gatwick Stansted City Airport

Departure Airport:

Country:

Airline:

Flight Number:

Date of Arrival:Time of Arrival

Please give details of any medical condition, known allergies or any other important information the host family and/or the college should be aware of:

Are you taking any prescribed medication? Yes NoIf “yes” please give details:

Havering College of Further and Higher Education values diversity within its learners and staff.

We are required to ask this question in order to assess the extent of representation of ethnic groups in relation to our Equal Opportunities policy. Your answer does not affect the outcome of your application.

How would you describe your ethnic background? (please tick)

11Asian or Asian British – Bangladeshi19Mixed – White and Asian

12Asian or Asian British – Indian20Mixed – White and Black African

13Asian or Asian British – Pakistani21Mixed – White and Black Caribbean

14Asian or Asian British – any other Asian background22Mixed – any other Mixed background

15Black or Black British – African23White – British

16Black or Black British – Caribbean24White – Irish

17Black or Black British – any other Black background25White – any other White background

18Chinese 98Any other

99Prefer not to say/Not known

Data collected on this form may be computerised, and is used both for statistical purposes within the College and its Funding bodies, and for sharing analysis with Schools, Colleges, Funding bodies and Local Authorities.

I confirm that the information provided on this form is correct to the best of my knowledge, and consent to this data being used as above:

Signature of Applicant:Date:

If the Applicant is under 18:

I agree with this application to the College, and will ensure compliance with the College Regulations:

Parent/Guardian: (Signature):(Name):Date: