Registration of interest for new accommodation

Title

First name*

Surname/Last name*

Are you?*

Male
Female

Email*

Phone number*

Your job role at YDH*

Please tell us what your Band you are*

We need this information as each application will go through a scoring system when the waiting list for apartments is full so apartments can be allocated fairly

Current address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Do you have any family members that need to live with you?*

Yes
No

If yes please list below including ages of any children below the age of 18

If applicable, list any colleagues that you would like to live with

Please select the type of accommodation you are ideally looking for*

Bedroom in a 4 bedroom apartment with an ensuite, and a shared lounge and kitchen
Bedroom in an 8 bedroom apartment with an ensuite,, and a shared lounge and kitchen (Please only select if you are a student)

Please note we only currently have four bedrooms apartments available. If you would like to go on our waiting list for another type of apartment please let us know in the box below for a second preference of accommodation type

If you have a second preference for accommodation type then please list below

If you have any other requirements or comments, please list them here

Are you currently in accommodation managed by Yeovil Hospital?*

Yes
No

If you are not in accommodation managed by Yeovil Hospital you will be added to our waiting list for accommodation.

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Contact us

Tel: 01935 475122