Application to become a DELS host | Donegal English Language School, Ireland

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? *

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? *

Does anyone smoke in your house? *

If yes, do they smoke inside or outside?

Do you have family pets? *

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 *

Do you have any previous experience hosting students? *

If you have had experience hosting students, please supply details

Student preference (you can tick more than one box if necessary) *

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.