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Accommodation-Student’s Questionnaire

Please fill in providing as much information as possible in order to facilitate us in finding the most suitable host family for you.
Personal Information:
* First Name:
* Family Name:
* Email:
     
Flight Information:
* Expected arrival time in Dublin:  
* Flight Number:  
* Arriving from:
* Duration of your accommodation in Host Family (please indicate number of weeks) :  
     
Dates for your accommodation:

 

*

Moving In:

* Moving Out:
 
Preferences:
* 1. Full-Board (Breakfast & Evening Meal included)
  2. Self-Catering (No Meals)
* Single Room Shared Room
*

Are you a smoker?

Yes No
*

Do you have any special dietary requirements e.g. vegetarian, diabetic, etc?

  Yes No
*

Do you have any allergies?

  Yes No
*

Do you mind pets in the house?

  Yes No
*

Do you mind children in the house?

  Yes No
     
 
Optional Information:
* What hobbies do you have?
* Have you lived with a host family before? Yes No