Accommodation application for student houses in Bremen

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Please write clearly and in block letters! Surname: Date: First name: Passport photograph: Studierendenwerk Bremen AöR -Studentisches Wohnen Bibliothekstrasse 7 28359 Bremen/Germany Accommodation application for student houses in Bremen Application for a room in our student houses. I am aware of the acceptance conditions below: 1. I must be enrolled at a Bremen university in the Federal State of Bremen as a regular student. 2. Single room apartments and (family-) flats will be awarded at following priority: 1. Bachelor-students, 2. Master-students, 3. PhDs 3. My personal income or the grant I have been awarded must not be more than 1.5 times the applicable BAföG rate per month. 4. Students may not live in our student houses for more than 60 months in total. 5. One week before moving in/the start of the rental agreement, the deposit of 350 per room and the 1st rent must be paid. I am also aware that while I am a student in Bremen I have the right to be allocated accommodation only once.* *If you are absent because your studies require this, a renewed application is possible. Moving within the houses is only possible in exceptional cases. I am also aware that I have the right to accommodation only when the Accommodation Application has been completed in full and signed. Furthermore, the documents listed below have also to be enclosed: a) Valid enrolment certificate (see 1). For first semester students the written confirmation that you have been allocated a university place is also accepted. When you have received your enrolment certificate, you must submit it immediately. b) Proof of income: - BAföG notification (copy) - Other grant notification (copy) - Informal declaration from your parents if they are funding your course of study - savings account passbook, etc. c) 1 current passport photograph, approx. 45x45 mm d) Copy of your passport Although your application will be added to the list of applicants until the documents listed above have been submitted in full, there is no entitlement to accommodation. 1

Please write clearly and in block letters! Surname: Date of birth: First name: Place of birth: Nationality: Marital status: Number of children: My home address (parents): My current address at my place of study: (Street - house number) (Street - house number) (Post code - town) (Post code - town) Phone: Mobile phone number: Email: Phone: Mobile phone number: Email: If you would like a two-room apartment or an apartment with several rooms: Person sharing: Job: Date of birth: Monthly income: Child/ren: Applicant s comments: Please enclose the documents listed below: Marriage certificate Current passport photo of person sharing Valid enrolment certificate Birth certificate/s of the child/children Passport photo/s of the child/children Copy of passport (person sharing) 2

Field of study? In which semester are you now? How many semesters do you still have to study? On what date would you like to move in? I have already lived in a student house of the Studentenwerk: No Yes, from: to Student house I have already completed a course of study: No Yes, as at in Who funds your course? Do you receive BAFöG funding? How much money do you have available per month? Our student houses in Bremen Our student houses offer single apartments and shared apartments. Single apartments are allocated only by the Studierendenwerk Bremen AöR. Rooms in shared apartments are allocated not by the Studierendenwerk Bremen AöR, but by the occupants of the shared apartment themselves. You may also apply for several student houses. 1. Student house CAMPUS, Universitäts-Boulevard 1 (university campus/furnished) 1-room apart. ca. 20,00 26,35 m² 2-room apart. ca. 41,88 56,43 m² also for student couples 2. Student village AM FLEET, Vorstraße 91, 93, 95, 97 and 99: (near uni/furnished) 4-room shared apartment room sizes ca. 21.44 24.38 m² 6-room shared apartment room sizes ca. 21.31 21.78 m² 7-room shared apartment room sizes ca. 24.53 m² 8-room shared apartment room sizes ca. 23.20 m² 3. Student village AM FLEET, Spittaler Str. 1 1 F (Bremen-Horn, near uni/furnished) 1-room apart. 19.20 m² 2-room apart./shared apart. ca. 39.00 m² also for student couples 3-room apart./shared apart. ca. 56.30 m² also for student couples with child 4. Student village LUISENTAL, Luisental 28 / 29 (Bremen-Horn, near uni/furnished) 1-room apart. ca. 15.26 m² 2-room apart. ca. 31.78 m 2 also for student couples 3-room apart./ shared apart. ca. 50.10 79.87 m² also for student couples w. child 6-room shared apartment room sizes ca. 21.61 m² 3

5. Student village LUISENTAL, Luisental 29 A 29 D (Bremen-Horn, near uni/furnished) 1-room apart ca. 16.40 m² 2-room apart./shared apart. ca. 37.72 m² also for student couples 3-room apart./shared apart. ca. 51.60 m² also for student couples with child 6. Student village LUISENTAL, Luisental 29 E&. F (Bremen-Horn, near uni/furnished) 1-room apart. ca.16.62 m² 7. Student house HORN-LEHE, Leher Heerstrasse 17 / 21 (Bremen-Horn, near uni/furnished) 2-room shared apartment room sizes ca.16.14 22.77 m² 3-room shared apartment room sizes ca.10.57 11.94 m² 6-room shared apartment room sizes ca.18.76 m² 8. Student house WEIDEDAMM, Dresdener Str. 25 / Kasseler Str. 37 (Bremen-Findorff/furn.d) 1-room apart. ca.16.19 m² 2-room apart./shared apart. ca.28.80 m² 32.52 m² also for student couples 3-room apart./shared apart. ca.51.56 m² 85.54 m² also for student couples w.child 4-room shared apartment room sizes ca. 20.53 21.97m² 8-room shared apartment room sizes ca. 21.81 m² 21.93 m² 9. HAUS IM VIERTEL, Schönhausenstr. 32 A and B (near city centre/furnished) Some rooms have shared kitchens and bathrooms per floor Rooms in shared apartment room sizes ca.10.99 31.84 m² 2-room apart. ca. 26.39 40.18 m² 10. Student house NEUSTADT, Geschwornenweg 176 (Bremen-Neustadt/furnished) 1-room apart. ca. 17.51 17.58 m² 3-room apart./shared apart. ca. 57.20 m² 71.57 m² also for student couples w. child 4-room shared apart. ca. 76.92 84.53 m² 11. Student house Anne-Conway-Straße, Anne-Conway-Straße 13 (Bremen-Horn/möbliert) 1-room apart. ca. 21,00 m² Multi-room apartment ca. 48,00 m² 2-room shared apart. Room sizes ca. 24,87 37,01m² Accommodation options for persons with disabilities We will contact you as soon as possible in order to discuss the options we have available on the phone or also in person. 4

***Please inform us immediately of any change of address, telephone number or email address!*** If you provide incorrect information, the Studierendenwerk Bremen AöR is entitled to withdraw from the rental agreement or terminate the agreement later with immediate effect. The place of jurisdiction for disputes is Bremen/Bremerhaven/Germany. With my signature I confirm that I have provided the information to the best of my knowledge. Place, Date Signature of student Consent to the collection and processing of personal data in conjunction with an application for accommodation and the provision of rented accommodation I hereby declare that I agree that the personal data I have provided shall be collected and processed by the Studierendenwerk Bremen AöR for the allocation of / application for accommodation and the setting up, execution and termination of a tenancy agreement. Regarding the particulars, I have read, understood and accepted the Information leaflet data protection accommodation, pages 1-7, available as a download at www.stw-bremen.de/de/wohnen The data shall be collected, processed and forwarded solely for the purpose of allocating accommodation and for any tenancy agreement which may possibly be concluded later. The data shall be provided on a voluntary basis. Permission for the data to be stored and forwarded can be cancelled at any time and will take effect for the future (the data processing before the cancellation shall remain legal). This will not lead to any disadvantages. However, an applicant cannot be provided with any accommodation if personal details are not provided or the approval that they can be processed is cancelled. An application for accommodation does not establish a legal right to the conclusion of a tenancy agreement. Place, Date Signature of student Name in block letters The official language is German. The English translation is intended only to help you understand the documents. (Stand 09/2018) 5