Dublin Cultural Institute - Accommodation Questionnaire

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

Apply online:

Book your course with the Dublin Cultural Institute today. View our online application form >>

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