Room Enquiry

Reserve a Room

Your Details

First name

Last name

Email address

Home phone

Mobile phone

Home Address

City

County / State / Province

Postcode

Country

Date of birth

Age

Gender

Your home country

Graduate

Which university are you studying at?

Course title

Year of study

Please make sure you give us the year of study you will be in when residing in this location.

UCAS/CAO number

Next of Kin Details

Emergency/next of kin name

Emergency/next of kin mobile

Emergency contact/next of kin email address

Accommodation Details

Accommodation Term

weeks

Room type

Which room type are you interested in?

Arrival date

Allocation Preferences

Booking type

Solo

Group

Do you smoke?

Yes

Medical, dietary and Specific Requirements

(to be disclosed at time of enquiry, this is to help us in room allocations and to assist with any special arrangements that you may require)

Personal Statement

0 of 250 max words

Tell us why you wish to live at QAH and what you can offer the community

GP name & address

Emergency Consent

In the event of an emergency, if we must seek medical help, contact any emergency services or if QAH are concerned that you are at risk of harming yourself or others or we are concerned about your welfare, we will, if possible, discuss this with you first but we may need to contact you parents, emergency contacts, university or GP even if you do not consent. As a resident at Queen Alexandra’s House Association, I confirm I have read, understand, and agree to the above.

Signature

Clear

Service of notices

I hereby give permission to accept service of notices, and other documentation given under, or in connection with the tenancy by email

3rd Parties

If you do not want selected third parties to send you text/emails, please tick here

Marketing

By checking this box you give Mezzino permission to contact you via email with our latest news. You can opt out at any stage.

Promo code (if applicable)

Where did you hear about us? Where did you hear about us?

The Agreement

The information you have supplied will be used to process your enquiry and if successful your application and manage any subsequent Licence Agreement accepted by you. Please note that this form only constitutes as an enquiry, once all further documentation has been received and not until your Licence Agreement is signed and your deposit paid is your accommodation guaranteed.

License Agreement

I confirm that I have read and agree to the Licence Agreement Terms and Conditions

Applications for 2025 / 2026 now open!