Temporary Accommodation form

Contact details

Title

If other, please specify

First Name *

Last Name *

Date of birth *

Day Month Year

Are you under 18? *

Address *

Town / City / Suburb *

State *

Postcode *

Contact phone *

Other contact phone As a backup in case we cannot get in touch with you on your main provided phone number

Email * We will send receipt of application and booking confirmation to this email address.

Accommodation application

Have you stayed with us before? *

Which Charles Sturt campus do you require accommodation at? *

What style of accommodation would you prefer for your stay? * All styles are subject to availability

Budget
Standard
Ensuite room
Apartment

What is the reason for your stay? * So we can support you in the best way possible, please let us know some detail about your stay. E.g. Placement, visiting PhD student, or other reason

Accommodation dates

Arrival date * Minimum notice required: 4 days prior to arrival

Day Month Year

Departure date * Check out time is 10am on your date of departure

Day Month Year

Special accommodation requirements

Are you a person with a disability or do you have accommodation support needs that we should consider when we allocate you a room? *

If yes, please let us know how we can support you

Is there any other information we need to know to support your application for accommodation?

Declaration

Agreement * In submitting this application, I undertake that if I am successful in obtaining a room I will meet all financial and administrative commitments as part of this application. I am aware that I will forfeit this room if I do not meet these requirements.

I acknowledge I have accessed the Residential Agreement and undertake to abide by the agreement and the House Rules within it, should I be accepted into Charles Sturt University residences.

I'm aware of the booking cancellation information and fees that will apply if I cancel, and the temporary accommodation guidelines that apply to this booking.

I agree

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