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    Hall Application Form PDF

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    Sash1693
    The document is a hall of residence application form for students applying to live in on-campus housing at the University of the West Indies Mona campus for the 2010-2011 academic year. It requests personal information such as name, address, emergency contact, and medical conditions. It also asks for academic details like intended faculty, program of study. Applicants select their preferred residence hall and must agree to the university's conduct policies to be eligible for on-campus housing. If accepted, housing is guaranteed for one academic year only.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Hall Application Form PDF

    Uploaded by

    Sash1693
    69 views2 pages
    The document is a hall of residence application form for students applying to live in on-campus housing at the University of the West Indies Mona campus for the 2010-2011 academic year. It requests personal information such as name, address, emergency contact, and medical conditions. It also asks for academic details like intended faculty, program of study. Applicants select their preferred residence hall and must agree to the university's conduct policies to be eligible for on-campus housing. If accepted, housing is guaranteed for one academic year only.

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    Hall_Application_Form For UWI

    Original Title

    Hall_Application_Form.pdf

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    The document is a hall of residence application form for students applying to live in on-campus housing at the University of the West Indies Mona campus for the 2010-2011 academic year. It requests personal information such as name, address, emergency contact, and medical conditions. It also asks for academic details like intended faculty, program of study. Applicants select their preferred residence hall and must agree to the university's conduct policies to be eligible for on-campus housing. If accepted, housing is guaranteed for one academic year only.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    69 views2 pages

    Hall Application Form PDF

    Uploaded by

    Sash1693
    The document is a hall of residence application form for students applying to live in on-campus housing at the University of the West Indies Mona campus for the 2010-2011 academic year. It requests personal information such as name, address, emergency contact, and medical conditions. It also asks for academic details like intended faculty, program of study. Applicants select their preferred residence hall and must agree to the university's conduct policies to be eligible for on-campus housing. If accepted, housing is guaranteed for one academic year only.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    THE UNIVERSITY OF THE WEST INDIES

    MONA CAMPUS

    OFFICE OF THE CAMPUS REGISTRAR


    HALL OF RESIDENCE APPLICATION FORM
    ACADEMIC YEAR 2010/2011
    New Students (Full Time only)
    Kindly fill in the form using BLOCK letters.
    Completed forms MUST be sent directly to the desired Hall of Residence.

    Personal Information
    Please affix
    photograph here

    UWI ID/ Registration No.

    ____________________________________

    SURNAME:

    ____________________________________

    FIRST NAME :

    ____________________________________

    HOME ADRESS:

    ______________________________________________________

    (Including Country)

    ______________________________________________________________________________
    Mailing Address (if different from above:
    ______________________________________________________________________________
    GENDER:

    Female/ Male

    DATE OF BIRTH: __________________________


    dd/mm/yy

    TELEPHONE:
    E-MAIL:

    _______________________

    ________________________

    (Home)

    (Mobile)

    __________________________________________________________________

    Person to be contacted in case of an emergency:


    NAME :

    _____________________________________________________________________

    RELATIONSHIP TO APPLICANT: _______________________________________________


    ADDRESS: ___________________________________________________________________
    TELEPHONE :

    ______________
    (Home)

    _____________
    (Mobile)

    _______________________
    (E-Mail)

    Do you have any known medical condition or physical disability? ________________________


    If yes, please state: _____________________________________________________________
    Family Physician: _______________________________________________________________
    Contact:

    _____________________________________________________________________

    High Schools/Tertiary Institution attended: __________________________________________


    ______________________________________________________________________________

    Co Curricular Activities:

    ______________________________________________________

    ______________________________________________________________________________
    ______________________________________________________________________________

    Academic Information
    Postgraduate
    FACULTY

    Undergraduate
    ______________________________________

    PROGRAMME/COURSE OF STUDY ____________________________________

    Hall Information (Please tick the appropriate choices)


    NAME HALL

    TYPE

    Mary Seacole Hall


    UWI Mona, Kingston 7
    [email protected]
    Tel: 1-876-935-8483
    Chancellor Hall
    UWI Mona, Kingston 7
    [email protected]
    Tel: 1-876-927-2780
    Fax: 1-876-970-3554
    A.Z. Preston Hall
    UWI Mona, Kingston 7
    [email protected]
    Tel: 1-876-977-6721-3
    Fax: 1-876-927-1600
    Irvine Hall
    UWI Mona, Kingston 7
    [email protected]
    Tel: 1-876-927-2793-4
    Fax: 1-876-927-2754
    Taylor Hall
    UWI Mona, Kingston 7
    [email protected]
    Tel: 1-876-927-2533
    Fax: 1-876-927-2533
    Rex Nettleford Hall
    UWI Mona Kingston 7
    [email protected]
    Tel: 1-876-977-60833 / 1-876-977-0214
    Fax: 1-876-977-5644
    Western Jamaica Campus Hall
    [email protected]
    Tel: 1-876-940-4349
    Fax: 1-876-971-1283

    Female Only

    Male Only

    Male and Female

    Male and Female

    Male and Female

    Male and Female

    Male and Female

    Have you ever lived in a hall of residence/dormitory before?


    Was it a hall of residence at UWI, Mona?
    If Yes state which one:

    Yes

    Yes

    No
    No

    __________________________________________________________

    State the period for which you previously stayed in hall (if applicable): ___________________________
    *Students who have been accepted to the University, and who requested Hall Accommodation must
    contact the Hall to which they applied to verify their accommodation status. Students must notify
    the Hall immediately if accommodation is no longer required. Please be advised that only full time
    students are eligible to apply for room in a Hall of Residence.
    I UNDERSTAND AND AGREE THAT:
    (1) Acceptance to the University does not guarantee an assignment to a room.
    (2) The Universitys regulation 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 by the stated
    deadline my application will be cancelled.
    (5) Persons who have been offered and accepted a place in a hall will only be guaranteed
    accommodation for a period of one academic year, providing that all terms and conditions
    of the Hall Agreement and Tenancy are adhered to.
    Date: _________________

    Signature:

    ________________________ _______

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