Welcome to DCI

WelcoWelcome to DCI

Dublin Cultural Institute - 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

WelcoWelcome to DCI