Hall Applicationform New

7/29/2019 Hall Applicationform New

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THE UNIVERSITY OF THE WEST INDIESST. AUGUSTINE, TRINIDAD AND TOBAGO, WEST INDIES

STUDENT ADVISORY SERVICESTelephone: (868) 662 2002 Ext.82096/82097; 82325 Fax: 663 0052

HALL OF RESIDENCE APPLICATION FORMACADEMIC YEAR - 2012/2013

NEW STUDENTS(Kindly fill out the form using BLOCK letters)

Personal Information

UWI ID/Registration No. __________________________

SURNAME _____________________________________________

FIRST NAME _____________________________________________

HOME ADDRESS ______________________________________________(including country)__________________________________________________________________

MAILING ADDRESS (if different from above)

______________________________________________________________________________________

GENDER: Female /Male DATE OF BIRTH: _____________dd/mm/yy

TELEPHONE ___________________ ___________________ E-MAIL _________________________ (Home) Mobile)

Do you have any known medical ailments/allergies? __________________________________

Person to be contacted in case of an emergency:

NAME __________________________ RELATIONSHIP TO APPLICANT ______________________________

ADDRESS ___________________________________________________________________________

TELEPHONE ____________________ _______________________ ________________________________

(Home) (Mobile) (E-mail)

Confidential Information

Have you ever been convicted of or pleaded guilty or no contest to any criminal offense?________

Have you ever been suspended or expelled from your previous school/academic institution?_____

If yes, to either of the questions above, kindly attach the appropriate documentation and a fullstatement of the relevant facts from the court that adjudicated the charges or the school from

which you were expelled or suspended.

If no, kindly attach a police certificate of good character or a letter of recommendation froman academic institution you attend/attended or from a person of good standing in yourcommunity, who is familiar with you.

This documentation would be handled confidentially. The University of the WestIndies reserves the right to determine who is permitted to stay on hall based on theinformation given. This is to ensure that the safety and welfare of the students arenot jeopardized and that the applicant is eligible for on-campus accommodation.

PLACE PHOTOHERE


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Academic Information

Postgraduate Undergraduate Full Time Part Time (Preference will be given to Full Time students)FACULTY ____________________________ YEAR OF STUDY: 1 2 3 other _________________

PROGRAMME/COURSE OF STUDY ___________________________________________________________

Hall Information

Canada, Milner and Trinity Halls of Residence are on the St. Augustine Campus.The Sir Arthur Lewis Hall on St. Johns Road is within close proximity to theCampus. Joyce Gibson Inniss Hall of Residence is adjacent to the Faculty ofMedical Sciences, some 4 km away at Mt. Hope and only accommodates studentsof the Medical Sciences Faculty.

(Tick the appropriate choices)

HALLS TYPE IST CHOICE 2ND CHOICETRINITY Double Room Double Superior Room Female OnlyCANADA (Single Rooms) Male Only UNAVAILABLE DUE TO

RENOVATIONS

MILNERUndergraduate: New Wing (Double Room ) Old Wing (Double Room)Post Graduate: New Wing (Single Ensuite

Rooms) 4 Bedroom Apartments(Shared)

Male &Female

THE JOYCE GIBSON INNISS HALL(SingleRooms)Medical Sciences, Mt. Hope

Male &Female

SIR ARTHUR LEWIS HALL Double Single Double (Ensuite) Studio 1 Bedroom Apartment

Male &Female

Expected duration of residency:

1st semester only 2nd semester only Both semesters State the hall on which you previously stayed (if applicable) ______________________________

State the period for which you previously stayed on hall (if applicable)________________________

Source of Funding: - Approved Boarding Grant - Scholarship - Student Loan (eg. HELP) - Self

NOTE TO APPLICANTS:A Reservation Fee must accompany the application form. The fee for Milner, Trinityand Canada Hall is TT$500.00 while the fee for Joyce Gibson Inniss Hall and Sir ArthurLewis Hall is TT$840.00. This fee will be refunded if you have not been accepted toHall (please contact Student Advisory Services). The fee converts to a Caution Feeonce the student has taken up residence and will be refunded upon completion ofhis/her stay on hall by the Hall Supervisor. The Payment can be made in the form ofbank draft, cheque or International Postal Money Order and sent via mail with thecompleted application. Cash payments can be made at the Cashier, The StudentAdministration Building, UWI. The receipt and the completed application must besubmitted to the Office of Student Advisory Services. Cheque/Money orders mustbe made payable to The University of the West Indies. PLEASE DO NOT MAIL

CASH! ALSO NOTE THAT PACKAGES SENT VIA EXPRESS MAIL SERVICE (EMS),OFFERED BY POST OFFICES WILL NOT BE ACCEPTED!


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On arrival to the Hall, students must pay an additional charge which servesas a kitchen fee. This will cover the cost of cooking gas/electricity andcleaning materials. Students should budget to pay approximately $45.00TTfor these services per semester.

Halls of Residence Fees 2012/2013

Halls of Residence Cost Semester I ($TT)(Per Person)

Cost Semester II($TT)(Per Person)

Cost per AcademicYear($TT)

(Per Person)

Trinity Hall

DoubleDouble SuperiorSingle (limited rooms)

5,290.00

5,815.006,340.00

4,290.004,715.005,140.00

9,580.0010,530.0011,480.00

Canada Hall

Single 4,765.00 3,865.00 8,630.00

Milner HallOld Wing:Double (Undergraduate)Four Bedroom Apartments(Postgraduate)

New Wing:Double(Undergraduate)Single (Post Graduate)

5,290.008,400.00

5,815.008,860.00

4,290.006,800.00

4,715.007,180.00

9,580.0015,200.00

10,530.0016,040.00

The Joyce Gibson Inniss Hall(Mt Hope)

Single

7,350.00 5,950.00 13,300.00

Sir Arthur Lewis Hall

DoubleSingleDouble (Ensuite)Studio1 Bedroom Apartment

5,775.007,350.009,450.00

13,125.0015,750.00

4,675.005,950.007,650.00

10,625.0012,750.00

10,450.0013,300.0017,100.0023,750.0028,500.00

NOTE: FEES MUST BE PAID IN ADVANCE, MINIMUM PAYMENT ONE (1) SEMESTER.

The University of the West Indies reserves the right to make changes, without prior notice, toinformation contained in this publication.

APPLICATIONS MUST BE SUBMITTED TO:DIRECTORSTUDENT ADVISORY SERVICESUWI, ST. AUGUSTINE

The deadline date is MARCH 15TH 2012. Please note that applicationsreceived after this date will only be considered if there are any remainingspaces available after applicants who met the deadline date have beenplaced.

I UNDERSTAND AND AGREE THAT:(1) Acceptance to the University does not guarantee an assignment to a room.(2) Universitys regulations on conduct and policies under which housing facilities

are operated must be observed at all times during the period of residence.(3) It is my responsibility to update my contact information.(4)If I fail to respond to ANY correspondence from the Halls of Residence my

application will be cancelled.

(5) This application must be submitted with a payment of the pre-cautionary fee.(6) Persons who have been offered and accepted a place on hall will only be

guaranteed accommodation for a period of one academic year, providing thatall terms and conditions of the Hall agreement and tenancy are adhered to.

Date: Signature:

*Students who have been accepted to the University must contact the relevant hall to verify their

accommodation status. Students must notify this office immediately if hall accommodation is nolonger required.


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FOR OFFICIAL USE ONLY

Receipt No.________________ Date: ________________

Paid: Yes No Refunded: Yes No

Documents

Hall Applicationform New