Application for accommodation in the student hall - Studentenwerk ...

Application for accommodation in the student hall
To
Studentenwerk Kassel
- Anstalt des öffentlichen Rechts -
Wolfhager Straße 10
34117 Kassel
I apply for accommodation in the student hall
� On the waiting list
� As an urgent / emergency case (Please mention reason)
� As a guest
I would like to move into the accommodation on the __________________________.
Please mark the desired type of accommodation and number according to preference:
from ________________ to __________________
Students in Witzenhausen can only apply for a place in Witzenhausen, students in Kassel for a place in Kassel.
� - I agree to the allocation of accommodation by the student services.
� 1 - Ludwig-Mohr-Straße 1 � 7 - Nora-Platiel-Straße 7 und 10 � - Witzenhausen
� 2 - Kohlenstraße 105 � 7 - Arnold-Bode-Straße 4
� 3 - Wolfhager Straße 10 und 12 � 8 - Naumburger Straße 13/15
� 4 - Weserstraße 28 � 9 - Hegelsbergstraße 20-24 (furnished / not furnished)
� 5 - Hüttenbergstraße 14/16 � 10 - Mönchebergstraße 19A/21 und 21B
� 6 - Konrad-Adenauer-Straße 13/15 � 10 - Moritzstraße 24/26
Please mark the desired type of accommodation and number according to preference:
� single room � single apartment � single apartment in group
accommodation
� single room in group accommodation � single apartment adapted for wheelchairs
� single room in a double / twin sharing apartment � studio apartment (not furnished)
� double apartment together with : _______________________________________________________
Personal data
Family name: ______________________________________ First name:______________________________________________
Date of birth: ______________________________________ Nationality: ______________________________________________
Female O Masculine O
Permanent home address
Postal code/Name of city/town: ___________________________________________________
Street, House number:__________________________________________________________
Country: ______________________________ Phone/Mobil:___________________________
Email: _______________________________________________________________________
Current postal address
c/o: ________________________________________________________________________
Postal code/Name of city/town: __________________________________________________
Street, House number:_________________________________________________________
Country: ______________________________ Phone/Mobil:__________________________
Email: ______________________________________________________________________
Personal Identity / Identification number: __________________________________________
Issued by / in: _______________________________________________________________
Date of receipt
Please attach a
passport
photo here

University
Student in :__________________________________________ Registration no.:__________________________________________
Faculty : ____________________________________________ Current semester: ________________________________________
The following children will be living with the applicant:
Family name: __________________________ First name(s): _____________________________ Date of birth:_____________________
Parents
Father´s name: _________________________________________ Mother´s name: ____________________________________________
Address of the parents: ____________________________________________________________________________________________
Phone number: __________________________________________________________________________________________________
__
Financial support
Do you have financial support for the course of studies?
Scholarship: ________________________________________________________________________________________________
Other sources: ______________________________________________________________________________________________
Questions regarding the student hall
Do you have any special financial reasons for
requesting accommodation in the student halls?
Have you lived in a student hall in Kassel or
Witzenhausen before?
If yes, where and how long?
____________________________________________________________
____________________________________________________________
____________________________________________________________
In case of an application for a double apartment or a flat, please admit separate application for the partner. Please note: Only
registered students of the University Kassel will be allowed accommodation as partner of first applicant.
Other remarks: __________________________________________________________________________________________________
I am aware of the following facts:
a) The application will not be considered in case that false or incorrect information is provided by the applicant.
b) The application will be removed from the waiting list if the applicant cannot be contacted in writing or if deadlines set by Studentenwerk
are missed. The Studentenwerk must be informed about any changes in address.
c) The application will be cancelled six months after the preferred move-in date.
Enclosed:
Student card (can be submitted later)
- passport size photo
- copy of the passport
The allocation will only follow when the completed application with all the necessary documents has been submitted.
0 I agree with passing on of my email address for current information by the student services or the tutors of the student halls.
Place, date: _______________________________________ Signature: _____________________________________________
Remark: Your data will be saved by the hall administration for further processing. On moving into a hall, your name and date of
birth will be submitted to the registration office at the city hall.