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Application to become a DELS host
Please take the time to fill in our application form to become a host
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Mobile number
*
Your address
*
Your occupation
*
Your marital status
*
Your partner's name if applicable (first & surname)
Your partner's occupation if applicable
Names of children (if any) living at home, and their year of birth and gender
When are you available to host?
*
Spring (March, April, May)
Summer only 11 June - 27 August 2023
Autumn (September, October)
All year
Do you have any holidays booked this year? If so, please specify dates and we will mark you as not available for those dates.
Please tick all that apply
I am willing to host a group leader
I am willing to host a vegetarian/celiac/diabetic (additional payment for celiac and diabetic) student
Number of rooms you have available with 1 bed
Number of rooms you have available with 2 beds
Number of bedrooms with ensuite available
*
Number of bathrooms in your house
*
Is smoking permitted in your house?
*
No
Yes
Does anyone smoke in your house?
*
No
Yes
If yes, do they smoke inside or outside?
Do you have family pets?
*
No
Yes
If you have a family pet(s), please give details including whether they live in or outside
Do you have any other facilities the student could use- please tick all that apply
*
I have a computer
I have broadband access
I have a piano
Do you have any previous experience hosting students?
*
Yes
No
If you have had experience hosting students, please supply details
Student preference (you can tick more than one box if necessary)
*
Female Adult 18+
Male Adult 18+
Female Junior 12-17
Male Junior 12-17
Is there any other information about your family that you feel we should be made aware of (e.g. health problems or other)?
I agree to Garda Vetting for all household members aged 18 or over (only if hosting junior students, not relevant if adults)
I confirm that all questions have been answered truthfully and there is no reason at law or otherwise why my family or I should not be considered suitable to host a student.
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