Student Application Form
If you are a student in the Walsall area, and would like to view one of our properties, please fill in the form below and we will contact you.
Name
*
First Name
Last Name
Correspondence Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
-
Area Code
Phone Number
Contact Preference
Email
Text
WhatsApp
Letter
Furnishing
Fully furnished
Desk, chair and bed only.
Bed only
Location Preference
Please Select
Location 1
Location 2
Location 3
What area of Walsall would you like to live
Budget
Timeshare
No
Yes
Do you already have friends you want to share with
Friend's Name
Friend 1
Friend 2
Friend 3
Friend 4
Friend 5
Friend 6
SUBMIT
Should be Empty: