La Trobe University > Accommodation > Short-term visits > Short stay request form

Short stay request form

Please fill out your details to enquire about short stay accommodation at La Trobe.

After completion of the form, a Living at La Trobe staff member will contact you to confirm availability, process your booking and arrange payment.

Please note that we will require at least 3 business day to assess your enquiry.

We ask that you do not attend to the property until you have received confirmation of your booking.

Your details

Location of stay

First Name *

Last Name *

Gender *

Date of Birth *

I confirm that I am 18 years of age or older

Email Address *

Contact Number *

Organisation Name *

Purpose of your stay (e.g, conference, guest to university, exams, placement) *

Additional guests

If yes, please provide their Given and Last name

Your booking

Check in date *

Day Month Year

Check out date *

Day Month Year

Type of room

Budget (per night)

Validation

Confidentiality

Your privacy is important to us. Information you provide to us will only be used for the purpose of booking your accommodation. All information provided by applicants will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application for identification and verification purposes only. In accordance with privacy laws, personal information about you contained in your entry will not be used for any other purpose or disclosed to any person who is not part of the La Trobe assessment and allocation process, without your permission. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting us on +61 03 9479 1197. The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy/