Parsons House
Hall Senior Application Form
Personal Details
Surname
First names
Title
Male/Female
Date of birth
Address for Correspondence
Telephone number (eve)
(day)
E-mail
Position at College
Course of Study
Department
Year of studies (e.g. 3rd of 4)
Other Commitments
What regular commitments do you have (e.g. rugby every Wednesday during term)?
Previous Accommodation In Hall
What halls of residence/similar accommodation have you lived (give dates)
Relevant Experience
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Your Photo
Reasons for Application
Referees
You should supply the name, telephone number and e-mail of two referees. The first should be your
tutor. The second could be a warden, past or present employer or a similar person in a position who
knows you well enough to comment on your suitability for the position. Your referees will only be
contacted if you get short listed for an interview.
Tutor/first referee name
Telephone
E-mail
Second referee name
Telephone
E-mail
Details of Post
Parsons House is an Imperial College hall of residence in the campus of Charing Cross Hospital,
with 40 Undergraduate and Postgraduate residents. Nearest tube is Hammersmith or Barons Court,
which is 25 mins from the South Kensington Campus. The hall seniors assist the wardens with
developing the social community of the hall. Hall seniors will be accommodated in a single room, with
the normal rent charges.
Declaration
I apply for the hall senior position, and declare that the information given is complete and true.
Signed
Date
Return to: Lavanya Thana, Assistant Warden, by 5pm, Friday, 19th February, 2016
E-mail: Send applications to L.THANA@IMPERIAL.AC.UK
Post: Lavanya Thana, Parsons House, Claybrook Road, London W6 8NB
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