Name *

Your name as it appears on your passport/official I.D document.

First Name

Last Name

Date of birth *

MM

DD

YYYY

Gender

With students coming from overseas, we cannot always tell by the name.

Male

Female

Prefer not to say

Phone Number

Country

(###)

###

####

Graduate or Postgraduate room?

While every effort will be made to accommodate your request, you may be offered a room different to your preference.

Graduate

Postgraduate

Will you require a parking space? *

There are a limited number of parking spaces available at Newman Hall. These are allocated at the chaplain's discretion and at a rate of £50 per academic year.

Yes

No

Name of Emergency Contact *

In case of an emergency, this is the first person we will contact after emergency services if necessary. Please ask their permission first.

First Name

Last Name

Phone Number of your Emergency Contact *

Again this number will be called in case of an emergency. Please ask them first.

Country

(###)

###

####

Data Protection *

Data Protection Your privacy is important to us. Your details will be used for communication regarding the Newman Hall Application Process and subsequent correspondence should you be offered a place. A full privacy policy can be consulted here: www.cardiffcatholicchaplaincy.org/privacy-policy. Any questions can be addressed to Fr Elliot Hanson at elliot.hanson@rcadc.org.

I agree to the privacy policy and consent to being contacted.