APPLICATION FORM

APPLICATION FORM

For accommodation at NOOC


Please read all the information about applying for accommodation. Please answer all the questions on this form. We cannot consider your application until we have all the information requested. When you have answered all the questions click on the Submit button to send your form to us. If the form sends correctly you will see a confirmation page. If you have any problems using and submitting the form, please email the administrator and we will send you a text version of the form, either via email or by fax (please specify which you would prefer).
Data Protection

OOSHA Ltd. is registered with the Data Protection Registrar (Number PX4299572). All data collected by OOSHA Ltd. is used in accordance with regulations laid down in English law (Data Protection Act 1998). This means that we can process the information you give us and use the information to provide the best possible service to you. We will store the information that you provide in computer and paper files for use in assessing your application, monitoring enquiries and, should a booking be made, for use with regard to your stay at the Centre. We will not pass on the information you give us to anyone outside our organisation. If you require more information about how we store and use the information that you provide please contact the administrator.
By completing this application form, you are authorising us to process the data you provide.

I agree to OOSHA Ltd processing the information that I give in this application form. Please answer "Yes" or "No" I agree that I have read the information about applying for accommodation at NOOC and the Rules for Residents. Please answer "Yes" or "No"

Section 1: Your Personal Details
Title	for example Mr, Mrs, Doctor, Professor
Initials: for example Fred John Smith's initials would be "F J"
Surname - family name
First name
Name for correspondence: your chosen name or how you like to be addressed
Other names
Gender
Date of birth
Nationality (as stated on your passport)
Permanent Address [Building Number or Name] [Number, Street Name (or PO Box)] [Town/City] [Province/State] [Postal code/Zip code]
Country
Address for Correspondence (if different from above)
Telephone (including country and area code)
Fax (including country and area code)
Email (Compulsory)
What type of visa do you/will you have?
If you selected an option marked with * please specify

Section 2: Accommodation Required
What type of Accommodation would you like to apply for?
Double and Family accommodation is all self contained. Please complete section 2A if you require single accommodation. Please complete 2B if you require double accommodation. Please complete 2B and 2C if you require family accommodation
Section 2A: Single accommodation
Please complete this section if you require single accommodation
Please specify the type of single room you would like
Please note that single accommodation is a room for one person only. Two people cannot share a single room, although guests can stay for short periods (see guest policy)
Section 2B: Double and Family Accommodation
To be completed by applicants for double and family accommodation
2B.1 Name of Partner
2B.2 Partner's date of birth
2B.3 Gender
2B.4 Nationality
2B.5 Will they be studying?
Section 2C: Family Accommodation
To be completed by applicants for family accommodation. Note: We can only provide accommodation to families with up to two accompanying children both of whom must be under ten years old
2C.1 Name of child 1
Date of birth of child 1
Gender of child 1
Name of child 2
Date of birth of child 2
Gender of child 2
Note: Children must never be left unattended. Single parent families must submit a comprehensive child care plan with this application.
If you would prefer a room in a specific building, or on a specific floor please give this information at the end of the form in the box marked 'Any Other Information'
2D. For what dates do you require accommodation?
Start date/Arrival	Have you checked our Vacancies page? Remember, we do not accept applications more than six months before the start/arrival date.
End date/Departure	Remember we do not accept applications that start or end in the middle of an academic term - Term dates
Have you applied for University Accommodation?	(check if you have applied for university accommodation)

Section 3: Current UK Accommodation
(Only complete this question if you live in the UK, or have lived in the UK in the last 12 months; otherwise, please go to Section 4) If you are already living in Oxford, please be aware that we only allocate 5 of our rooms to people who are already in Oxford at the start of the academic year because we give priority to people arriving from overseas.
Type of accommodation
Address (including Post Code)
Reason for leaving this accommodation

Section 4: What will you be doing in Oxford?
What will you be doing in Oxford?
If you selected 'Other' please specify
Please give details of your course/study/research (Compulsory)
General Subject: E.g. Archaeology, History, Biology, Chemistry or Mathematics etc.
Name of Your College or Department
Address
Telephone
E-mail
Name of Tutor/Supervisor/Someone who can verify what you will be doing in Oxford (Compulsory)
Email (preferred)/Telephone
I give permission for you to contact the person named above if necessary to confirm details of my study	(Please check this box if you agree)
What are the proposed dates of study?
Start date
End date
What is your source of income for the duration of the study program? (Compulsory)
If you selected 'Other' please specify
What is your income for the duration of the study program?	per
(Please note this figure should be the total amount not just your accommodation budget)

Section 5: Other Information
5.1 Do you have any medical conditions/disabilities which we need to take into account when dealing with this application?
If you answered 'Yes' please give details
5.2 Do you smoke? (Compulsory)
If you answered 'Yes' you must confirm your agreement to not smoking in the building or in your room by ticking this box
Please note that smoking is not permitted in any room inside any of our buildings - this is because smoking indoors is prohibited by law. If you are a smoker, you will have to smoke outside, away from the building.
Have you stayed at NOOC before?
How did you hear about NOOC?
If you selected 'Other' please specify
Why do you want to apply for accommodation at NOOC?
The NOOC is not intended to be a silent environment. The majority or our residents, particularly those who have come from an extended family background, enjoy the communal atmosphere and take comfort in hearing other people around the building. A few people who stay with us struggle with sounds coming from the environment (local traffic, birds, neighbours and the building). If you think noise may be an issue for you, please note your concerns in the space below and the Administrator will respond to you.
Any Other Information? Please use this space for any other information you would like to give us.
Declaration 1. I confirm that all the information I have given is accurate to the best of my knowledge, and I understand that I risk losing any accommodation I am offered if it is later found to be false. 2. I agree to keep the North Oxford Overseas Centre informed of any change of address or change of circumstances. 3. I agree that if I accept an offer of accommodation from the North Oxford Overseas Centre I will pay a booking fee of £200.00* and any charges in advance (as requested) and that I will keep the terms and conditions of my stay at the North Oxford Overseas Centre. *Not requested for bookings of less than 28 days. 4. I understand that completing this form does not guarantee that I will be offered a place.
Full name (as on passport)
Date	[dd/mm/yyyy]