THE UNIVERSITY OF THE WEST INDIES

ST. AUGUSTINE, TRINIDAD AND TOBAGO, WEST INDIES STUDENT ADVISORY SERVICES
Telephone: (868) 662 2002 Ext.82096/82097; 82325 Fax: 663 0052

HALL OF RESIDENCE APPLICATION FORM ACADEMIC YEAR - 2012/2013

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

Personal Information UWI ID/Registration No. __________________________

PLACE PHOTO HERE

SURNAME FIRST NAME

_____________________________________________ _____________________________________________

HOME ADDRESS ______________________________________________ (including country) __________________________________________________________________ MAILING ADDRESS (if different from above) ______________________________________________________________________________________ GENDER: Female /Male TELEPHONE ___________________ (Home) DATE OF BIRTH: _____________ dd/mm/yy ___________________ Mobile) E-MAIL _________________________

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 full statement 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 from an academic institution you attend/attended or from a person of good standing in your community, who is familiar with you. This documentation would be handled confidentially. The University of the West Indies reserves the right to determine who is permitted to stay on hall based on the information given. This is to ensure that the safety and welfare of the students are not jeopardized and that the applicant is eligible for on-campus accommodation.

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

FACULTY ____________________________

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 the Campus. Joyce Gibson Inniss Hall of Residence is adjacent to the Faculty of Medical Sciences, some 4 km away at Mt. Hope and only accommodates students of the Medical Sciences Faculty. (Tick the appropriate choices) HALLS TRINITY
Double Room Double Superior Room CANADA (Single Rooms)

TYPE Female Only Male Only

IST CHOICE

2ND CHOICE

UNAVAILABLE DUE TO RENOVATIONS

MILNER Undergraduate: New Wing (Double Room ) Old Wing (Double Room) Post Graduate: New Wing (Single Ensuite
Rooms)

Male & Female

4 Bedroom Apartments
(Shared)

THE JOYCE GIBSON INNISS HALL(Single

Rooms) Medical Sciences, Mt. Hope

Male & Female

SIR ARTHUR LEWIS HALL Double Single Double (Ensuite) Studio 1 Bedroom Apartment Expected duration of residency: 1st semester only

Male & Female

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 - Student Loan (eg. HELP) - Scholarship - Self

NOTE TO APPLICANTS:

A Reservation Fee must accompany the application form. The fee for Milner, Trinity and Canada Hall is TT$500.00 while the fee for Joyce Gibson Inniss Hall and Sir Arthur Lewis Hall is TT$840.00. This fee will be refunded if you have not been accepted to Hall (please contact Student Advisory Services). The fee converts to a Caution Fee once the student has taken up residence and will be refunded upon completion of his/her stay on hall by the Hall Supervisor. The Payment can be made in the form of bank draft, cheque or International Postal Money Order and sent via mail with the completed application. Cash payments can be made at the Cashier, The Student Administration Building, UWI. The receipt and the completed application must be submitted to the Office of Student Advisory Services. Cheque/Money orders must be 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!

On arrival to the Hall, students must pay an additional charge which serves as a kitchen fee. This will cover the cost of cooking gas/electricity and cleaning materials. Students should budget to pay approximately $45.00TT for these services per semester. Halls of Residence Fees 2012/2013
Halls of Residence Cost Semester I ($TT) (Per Person) Cost Semester II ($TT) (Per Person) Cost per Academic Year($TT) (Per Person)

Trinity Hall Double Double Superior Single (limited rooms) 0 5,815.00 6,340.00

5,290.0

4,290.00 4,715.00 5,140.00

9,580.00 10,530.00 11,480.00

Canada Hall Single Milner Hall Old Wing: Double (Undergraduate) Four Bedroom Apartments (Postgraduate) New Wing: Double(Undergraduate) Single (Post Graduate) The Joyce Gibson Inniss Hall (Mt Hope) Single Sir Arthur Lewis Hall Double Single Double (Ensuite) Studio 1 Bedroom Apartment 5,775.00 7,350.00 9,450.00 13,125.00 15,750.00 4,675.00 5,950.00 7,650.00 10,625.00 12,750.00 10,450.00 13,300.00 17,100.00 23,750.00 28,500.00 4,765.00 3,865.00 8,630.00

5,290.00 8,400.00 5,815.00 8,860.00

4,290.00 6,800.00 4,715.00 7,180.00

9,580.00 15,200.00 10,530.00 16,040.00

7,350.00

5,950.00

13,300.00

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, to information contained in this publication.

*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 no longer required.
APPLICATIONS MUST BE SUBMITTED TO: DIRECTOR STUDENT ADVISORY SERVICES UWI, ST. AUGUSTINE

The deadline date is MARCH 15TH 2012. Please note that applications received after this date will only be considered if there are any remaining spaces available after applicants who met the deadline date have been placed.
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 that all terms and conditions of the Hall agreement and tenancy are adhered to. Date: Signature:

============================================================== ================= FOR OFFICIAL USE ONLY Receipt No.________________ Paid: Yes No Date: ________________ Refunded: Yes No