Short stay accommodation booking form Please complete the form below to enquire about short stay accommodation at La Trobe.Please note: Individual bookings are only available to La Trobe staff or students, or individuals booking on behalf of an organisation that holds public liability insurance. Accommodation is not available to individuals outside of these categories. If you're unsure whether you qualify, please submit an enquiry and we'll be happy to help. Contact detailsFull name * Please provide your first name and last name. Email address * Contact phone number * Organisation/Business/Department name * For individuals: Department/Organisation name For group bookings: Organisation/Business name What type of booking are you making? * -- Please Select --Individual booking (La Trobe student or staff)Sporting groupSchool campOther group booking Individual booking detailsLocation of stay -- Please Select --Melbourne (Bundoora)BendigoAlbury-WodongaBallaratMeltonMilduraShepparton Date of birth I confirm I am 18 years or older Cost Centre/WBS (La Trobe only) Optional Purpose of your stay (e.g, conference, guest to university) Iam... La Trobe student La Trobe staff Other Check-in date Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJuneJulyAugSeptOctNovDec Year 19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099 End date Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJuneJulyAugSeptOctNovDec Year 20262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099 Are you interested in catering? (Bundoora only) Yes No Group booking detailsSelect campus Melbourne (Bundoora) Anticipated number of guests Check-in date Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJuneJulyAugSeptOctNovDec Year 20262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099 End date Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJuneJulyAugSeptOctNovDec Year 20262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099 Purpose of visit Brief description Additional services Leave this field blank if you do not require any additional services. Catering Meeting rooms Lecture Theatres Sports activities (basketball, soccer, swimming, rock climbing) Wildlife Sanctuary tour Is there anything else you would like to tell us about your event? Have you stayed at La Trobe before? Yes No How did you hear about us? 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/ Validation After you submit the form, a member of the Living at La Trobe team will contact you within three business days to confirm availability and assist with your booking.
