Host Family Sign Up — Eire Rugby

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Long Term Student Application

Long Term Student Application

Long Term Student Application

Host Family Sign Up

Name *

First Name

Last Name

Email *

Address (Include EIRCODE)

How Many Beds Do You Have Available?

Have you done hosting before? *

Yes

No

Phone

(###)

###

####

Do you have Cats/Dogs?

Cats

Dogs

Tick Box to Confirm:

You Have a Working Smoke Alarm

You Have a Working Carbon Monoxide Alarm

Gender Preference of Students *

No Preference

Male

Female

Please confirm your availability from Thursday 3rd July - Monday 28th July *

Fully Available

Partially Available

Thank you for applying to be a host family. A member of the EIRE team will be in touch soon.

Host families are a critical part of running successful programmes. If you are interested in becoming a host family for EIRE Rugby, please fill in the form below.