Please fill out the form below accuratly to recive information on available accomodation, thank you.

First Name
Family Name
Country of Origin
Are you Male
Female
Date of Birth
Age
Religion / Denomination
Nationality
Name of College / University
Expected arrival date in Northampton
Expected departure date from Northampton
Course Full-time
Part-time
Type of course Foundation
HND/HNC
NVQ
GCSE/GCE
Access
Degree
Course start date
Course end date
Student status International
Home/EU
Address to which correspondence should be sent
Other
Street address 1
Street address 2
City
Post Code
Country
Telephone Number (including area code)
Mobile number (including area code)
Fax Number (including area code)
Email
Your requirements
Are you willing to live in a shared house? Yes
No
Do you smoke? Yes
No
Are you willing to stay in a household where people smoke? Yes
No
Do you have any medical problems (e.g. allergies)? Yes
No
Do you have any special requests regarding accommodation? Yes
No
Type of Accommodation required (please enter 1 – 6, 1 + most preferred, 6 = least preferred)
1 Bed Flat Yes No £ to £per week Preference
2 Bed Flat Yes No £ to £per week Preference
1 Bed Shared House Yes No £ to £per week Preference
2 Bed Shared House Yes No £ to £per week Preference
3 Bed Shared House Yes No £ to £per week Preference
4 Bed Shared House Yes No £ to £per week Preference
5 Bed Shared House Yes No £ to £per week Preference
6 Bed Shared House Yes No £ to £per week Preference
Do you require internet connection? Yes
No
Source of funding / rental payments Loan
Parents
Other
Family member to be contacted (Father, Mother Etc.)
Next Of Kin (Father, Mother Etc.)
Name
Address line 1
Address line 2
Tel no
Do they speak english?

Disclaimer

• Mortarboard Accommodation will do everything to fully comply with students’ accommodation requests. However, all requests are subject to availability therefore we sometimes cannot meet all requests.

• Data may be processed electronically and used for administrative purposes.

Should you have any queries or concerns please do not hesitate to contact us on 01604 630330

I agree that all of the provided information is correct to the best of my knowledge.