Apply Now (Term-Time)Online Application for Accommodation at Helen Graham House PLEASE NOTEBy completing this application form you will be joining our waiting list, joining our waiting list does not guarantee that a room will be available on your chosen move-in date.Your InformationFirst Name(s):*Surname (family name):*Age*Date of Birth (dd/mm/yyyy)Nationality*What best describes your gender?*FemaleMalePrefer not to sayPrefer to self-describeI prefer to self-describe as:Marital Status*SingleMarriedCivil PartnershipPhone Number (mobile)*Email* Enter Email Confirm Email Note that we will only contact you by emailPhone Number (home)*Current Address* Street Address City Post Code Please SelectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country What type of accommodation was this?*Do you have any disabilities, illnesses or special needs that will affect your stay at the accommodation (ie: claustrophobia, epilepsy, sleepwalking, diabetes, depression, etc.)?* YES NOIf YES, please note that you will need to upload (or send in a separate email) the supporting documentation.Supporting documentation (see above)When are you arriving?* DD MM YYYYWhen are you leaving?* DD MM YYYYPreferred type of accommodation**Standard Single Room FULL (£188.00 per week) - WAITING LIST ONLYLarge Single Room FULL (£196.00 per week) - WAITING LIST ONLYEnsuite Double Room for Single Occupancy (£228.00 per week) - WAITING LIST ONLYBed in a (Shared) Twin Room - LIMITED AVAILABILITY (£132.80 per week)I would like to be considered for anyPlease note that we will consider your preference but may not be able to meet it.Gender Allocation Preferences*Single Sex Floor (male only or female only)Mixed Sex Floor*Any, I don't mind*Note that our Mixed Sex Floor has mixed gender shower and WC facilities only. Please note that we will try to accommodate your requests, but this is not always possible.Where did you hear about us?*Please selectArchitectural Association BirkbeckBPPCass Business School Central Saint Martins Chelsea College of Arts City University Easy MoshiFacebookFriends & FamilyGoogleGreenwich UniversityI stayed with you previouslyImperial CollegeInstitute of Education King's College LamdaLivingatUni.comLondon Business School London College of Fashion London Metropolitan University London School of Hygiene & Tropical Medicine LSE Middlesex University MyStudentHalls.comRavensbourne College Regent's College Royal College of Art Royal Veterinary College SOAS StudentBlock.co.ukThe Islington Housing GuideThe London Housing GuideThe Student RoomThe University of Law The University PaperThe Urdang Academy UCFB UCLUELUniplaces.com University of Westminster What'sOn Student GuideWord of MouthI visited your stand at a student housing eventOtherPlease specify if you selected "Other"Financial InformationAbout your income and how you will pay your rent. To ensure we meet the Housing Associations charitable aims we need to know more about your means to pay rental charges and your current employment / academic status.Student Hours*Please note that we can only accept full time student during the academic term-time. Full time student status can vary from individual to individual, dependant on various factors such as their HEI or FE acceptance confirmation (e.g. number of courses/papers taken) and personal circumstances if applicable (e.g. number of hours they are working which may be restricted due any work permit requirements in place). Your HEI or FE institution should be able to confirm this for you have any doubts.Part TimeFull TimePlace of Study*Please selectArchitectural Association BirkbeckBPPCass Business School Central Saint Martins Chelsea College of Arts City University Coventry University (London Campus)Guildhall School of Music and DramaGoldsmiths, University of LondonGreenwich University Imperial CollegeInstitute of Education King's College LamdaLondon Business School London College of Fashion London Metropolitan UniversityLondon School of Hygiene and Tropical Medicine London School of MakeupLSE Middlesex University Pearson CollegeRavensbourne College Regent's College Royal College of Art Royal College of MusicRoyal Veterinary College SOAS The University of Law UCFB UCLUCLHUniversity of East LondonUniversity of Westminster OtherName of your school, university or college where you are or will be studying.Please specify if you selected "Other"What subject are you studying?*What is the name of your course?How long is your course?*Please tell us how you support yourself financially while studying*ie: student grant / parental support / loans / work / savingsHow much do you receive per week after tax?*ie: salary, grant payments, etc.Your method of rent payment* Debit or Credit Card Bank TransferPlease note that we can't take CASH, we can ONLY accept payments made by card or by bank transfer.Are you currently working?* YES NOHow many hours do you work per week?If applicable.Can you please confirm that you are able to afford the weekly charges for your stay?* YES NOYear 2018-19 £132.80 (bed in a twin shared room) £188.00 (standard single room) £196.00 (large single room) £228.00 (Ensuite Room)About your residence statusPlease note that you are responsible for making sure that you have all the necessary documents to prove that you can rent in the UK. For your application to progress to a room offer we are required by law to process a right to rent check before we can confirm your room. We will pass on your name, email address and mobile phone number to NSL who will contact you to process this check on our behalf. We will not do this to those who have joined the waiting list. Only when a room offer is being made. You will be contacted shortly by the NSL and asked to complete the Right to Rent form online and upload some documents to the site for the NSL to complete the Right to Rent check. Once we have your Right to Rent status confirmed we will be in a position to offer you accommodation on site. Please note that if you do not complete this check we will not be in a position to offer you accommodation.Can you please read and confirm that you understand the information below** YES, I understand and agreeI confirm that the information given on this form is correct to the best of my knowledge, and that no relevant information has been withheld. If I am found to have withheld information now or in the future relating to my application for accommodation, Optivo reserves the right to withdraw any offer made or may request that you vacate the accommodation. I understand that the information provided will be treated in the strictest confidence and according to OPTIVO’s Privacy Notice.Click here to read our Privacy Notice.Name* First Name Surname Todays Date (dd/mm/yyyy)*Please noteOnce we process your application, it will be acknowledged by email and giving you a reference number, then your name will be added to the waiting list if the accommodation is full. When a room becomes available a member of staff will contact you to set up an appointment for an interview (long term residents only). Please note that the acknowledgement email does NOT mean you have been accepted for residence or have a room.EmailThis field is for validation purposes and should be left unchanged.