Students and young people applications

Applicant Information

Person 1

Forename(s) Surname

Date of Birth(Required)

Pronoun

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City Postcode Country

Next of Kin information

Full name(Required)

Relationship

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region Postcode Country

Application Details

How did you hear about the accommodation?

Reason for coming to London?

Education Details

If studying, which University?

Is your place at University / College conditional or unconditional

If working name of employers or prospective employer

Medical Details

Are there any medical conditions that should be noted?

Allergies

Diabetes

Asthma

Regular medication

Reference Details

Please supply the name and address of two people who will act as a reference for you. (These people should not be related to you in any way).

Reference 1 - Full name(Required)

Occupation

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Reference 2 - Full name(Required)

Occupation

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Reasons For Applying

Why would you like to come and live in this type of accommodation?(Required)

Where did you hear about jLiving?

To allow the association to monitor our Equal Opportunity Policy, please complete the questions below.

The Association wants to treat all applicants equally, whatever their race, colour or ethnic origin.

Ethnic Origin(Required)

Religion(Required)

Other

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