Accommodation application 2017 to 2018 for

Data protection and confidentiality authorisation
The University’s Student Support Services’ Confidentiality Policy usually requires the
student’s permission to share sensitive and confidential information with colleagues, unless
a student is considered to be at risk of harming him or herself, or others.
The Confidentiality Policy is set within the context of the Data Protection Act 1998, the
University’s principles of confidentiality relating to students, and the relevant professional
codes of conduct.
Any data or records held in the Student Accommodation Office are confidential, secure and
accessed only by the Student Accommodation Team.
Data may be used for statistical reasons, but these reports do not identify or disclose
information that will identify an individual.
We need your permission to store both this data and these records, and to disclose them to
others.
We may recommend disclosure of relevant information to the appropriate personnel in order
to ensure your support across the University.
These can include:
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Student Accommodation Team and Accommodation Finance office
Head of Accommodation & Hospitality Services
Head of Student Services
Student funding, Disability advice, Residential Life and Wellbeing, Resident Tutors
Head of Security
Accommodation Operations Manager and Accommodation Operations Team Leaders
Assistant Registrar
International Office
Medical Centre
Chaplaincy
SU Advice & Representation Centre
Your academic supervisor or personal tutor
We will advise you if we feel it is necessary to make any further disclosures to other
personnel not listed above.
The University cannot guarantee to arrange appropriate support if adequate disclosure of
disability or medical history is not made in writing at the time of application
It is important that you read all residential rules and terms and conditions.
It is not normal practice for the University of Bath to discuss your accommodation fees
account details with a third party.
However, the institution is often contacted by concerned sponsors/parents with regard to
your financial status.
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By completing and signing below, you agree to us holding and disclosing personal and
statistical information in appropriate ways.
If you choose not to give us permission to hold or disclose information, please be aware this
may restrict the level of support you will receive.
Signature and agreement
Name (Block capitals):
Signature:
Date:
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Accommodation application 2017 to 2018 for students with
additional requirements
Personal details
Complete this table with your personal details.
First name:
Family name:
Date of birth:
Gender:
Landline number:
Mobile number:
Email address:
Study details
Student type (Undergraduate/Postgraduate):
University of Bath Student no:
Course:
Year of Study:
Condition
Please provide details of your diagnosed medical condition or physical disability and
how this impacts on your day to day living.
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Facilities required because of your medical condition or physical disability
We reserve the right to offer University accommodation in one of our city complexes if your
medical condition and/or disability does not warrant you being allocated campus
accommodation.
Please select the facilities that you would require from the list below.
Ensuite facility ☐
Large room ☐
Ground floor room ☐
Wheelchair accessible room ☐
Shower chair ☐
Grab rails ☐
Low kitchen surfaces ☐
Motorised door opening device ☐
Small personal fridge for medicines or special dietary foods ☐
Support workers room ☐
Fire alarm activation aid (flashing light and vibrating pillow) ☐
Additional equipment required that is not already mentioned
If there is anything not mentioned above that you would require or feel that we should know
please provide details.
Similarly if you have specific equipment you would like to bring with you please let us know.
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Accommodation preferences
Select the size and gender balance of kitchen group you would ideally like to share with.
Small (up to seven sharing) ☐
Medium (up to 12 sharing) ☐
Large (up to 19 sharing) ☐
No preference ☐
Mixed gender ☐
Single gender ☐
No preference ☐
Wi-fi, recycling facilities, laundry facilities, core possessions insurance and bicycle storage
are available in all complexes.
Undergraduate accommodation options
Undergraduate accommodation for a 38 week contract 23/09/2017 to 16/06/2018
Wheelchair accessible room
Larger room for wheelchair accessibility.
Complex
Description
Room type
Price per week (£)
Woodland
Court
Lift access
Four foot bed
En-suite
shower
£169- £180
Select option
☐
En-suite
bath/shower
Ensuite
shower
£169-£180
☐
£160
☐
£163, plus £25
eat and drink
credit
£125, plus
£50 eat and drink
credit
☐
Marlborough
and Solsbury
Court
The Quads
Ground floor
Part catered
Ground floor
En-suite
shower
Brendon
Court
Catered
Ground floor
Access to
adapted
shower or
bathroom
Standard with
washbasin
☐
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Studio – self catered
A self-contained room offering en-suite shower facilities and kitchenette area.
Complex
Westwood
Marlborough
and Solsbury
Court
Osborne
House
Description
Second floor
No lift
Ground floor
Room type
Studio
Price per week (£)
£146
Select option
☐
Studio
£165
☐
Quiet
residence, no
lift, mainly
located on
second floor
Studio
£145-£150
☐
Description
Lift access
Four foot bed
Lift access to
some areas
Room type
En-suite shower
Price per week (£)
£165-£175
Select option
☐
En-suite shower
£160
☐
Quiet residence
No lift
En-suite shower
£130
☐
En-suite – self catered
Room contains en-suite facilities
Complex
Woodland
Court
Marlborough
and Solsbury
Court
Osborne
House
Standard – self catered
Standard rooms with shared kitchen and bathroom facilities.
Complex
Westwood
Description
No lift
Norwood
House
Lift access
High-rise
complex
located above
the Students’
union bars and
club venues
No lift
Eastwood
Houses
Eastwood
Houses
Osborne
House
No lift
Quiet residence
No lift
Room type
Standard with
washbasin
Standard with
washbasin
Price per week (£)
£132-£135
Select option
☐
£127
☐
Standard
£106.50
☐
Standard with
washbasin
Standard
£125
☐
£105-£110
☐
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City centre – self catered, standard and en-suite
Undergraduate accommodation located in the city centre close to the bus and train stations.
Complex
John Wood
Building
John Wood
Court
Carpenter
House
Description
Lift access
Room type
En-suite shower
Price per week (£)
£155
Select option
☐
No lift
Standard
£128
☐
Lift access
Standard with
washbasin
£128
☐
On campus catered/part-catered complexes – standard and en-suite
Eat and drink credit is charged for 33 weeks of the 38 week contract in addition to the room
rate price listed below.
Complex
Polden Court
(Risk of
disruption)
Brendon Court
The Quads
Description
Catered
No lift
TV with TV
license included
Catered, no lift
Part catered
Lift access
Room type
En-suite
bath/shower
Price per week (£)
£155-£160, plus
£50 eat and drink
credit
Select option
☐
Standard with
washbasin
En-suite shower
£125, plus £50 eat
and drink credit
£160-£163, plus
£25 eat and drink
credit
☐
☐
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Postgraduate accommodation options
Campus accommodation
Accommodation for a contract lasting 38 weeks 23/09/2017 to 16/06/2018
Complex
Woodland
Court
Description
Lift access
Four foot bed
Rooms type
En-suite shower
Price per week (£)
£165
Select option
☐
Woodland
Court
Wheelchair
accessible
Lift access
Four foot bed
Ensuite bath
£169
☐
Ensuite
bath/shower
£169
☐
City accommodation
Accommodation for a contract lasting 51 weeks and two days 23/09/2017 to 17/09/2018
Studio – self catered
A self-contained room offering en-suite shower facilities and kitchenette area.
Complex
Thornbank
Gardens
Pulteney Court
Canal Wharf
Description
Lift access
Room type
Studio
Price per week (£)
£160
Select option
☐
No lift
No lift
Studio
Studio
£150
£150
☐
☐
Description
Lift access
Room type
En-suite shower
Price per week (£)
£152
Select option
☐
No lift
En-suite shower
£155-£160
☐
En-suite – self catered
Room contains en-suite facilities
Complex
Thornbank
Gardens
Clevelands
building
Standard – self-catered
Standard rooms with shared kitchen and bathroom facilities.
Price per week (£)
£125
Select option
☐
No lift
Room type
Standard with
washbasin
Standard
£127-£130
☐
No lift
Standard
£115-£127
☐
Complex
Pulteney Court
Description
No lift
Clevelands
Building
Canal Wharf
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Emergency evacuation
As part of our emergency evacuation procedures, we need to ensure that all occupants are
able to leave their accommodation safely at all times of the day or night.
We understand that students with additional requirements may be able to leave the building
unaided, however some may require some form of assistance.
Therefore, please answer the following questions now, so that any relevant procedures can
be put in place either ahead of your arrival, or as soon as possible after your arrival.
This will also help us to allocate you the most suitable room in your preferred complex.
Are you a temporary or permanent wheelchair user?
Yes – temporary ☐
Yes – permanent ☐
Need to discuss further ☐
No ☐
Do you find stairs difficult to use?
Yes ☐
No ☐
Need to discuss further ☐
Do you have a condition that could cause you to become confused on hearing the fire alarm
in the event of an emergency?
Yes ☐
No ☐
Need to discuss further ☐
Do you suffer from epilepsy that could be triggered by flashing lights or loud alarms?
Yes ☐
No ☐
Need to discuss further ☐
If there is any other reason why you would find it difficult to evacuate your room quickly in
the event of an emergency please provide details below:
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Declaration
Please tick the statement that applies to you.
In the event of an emergency:
☐ I could evacuate my room without assistance, and within five minutes of an alarm
sounding, at any time of day or night. I therefore do not require a personal emergency
evacuation plan.
☐ I am not sure if I could evacuate my room without assistance, and within five minutes of
an alarm sounding at any time of day or night so I would like to discuss this further.
☐ I would not be able to evacuate my room without assistance, and within five minutes of an
alarm sounding at any time of day or night. I therefore require a personal evacuation plan to
be set up either before or upon my arrival.
Full name:
Signature:
X
Please write you signature here
Date:
Please also supply written medical evidence from your Health practitioner to support your
request for University Accommodation and return with your completed application to the
address below.
Student Accommodation Office
West Accommodation Centre
University of Bath
Claverton Down
Bath, BA2 7AY, UK
Telephone: +44(0)1225-383111
Fax: +44(0)1225-386474
Email: [email protected]
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