Host Application Form | Become a Host Family

1 Personal Information

Full Name *

Date of Birth *

Email Address *

Phone Number *

Occupation *

Nationality *

Home Address *

County/Location *

Eircode

2 Your Household

Marital Status *

Total People Living in the Home *

Household Members (names, ages & relationship)

Are there children under 18 in the home? *

Yes No

Do you have a landline telephone? (host requirement)

Yes No

3 Accommodation Details

Type of Accommodation *

Number of Spare Bedrooms Available *

Bathroom Arrangement *

Do you have high-speed broadband/Wi-Fi? *

Yes No

Distance to nearest bus/train/transport *

Distance to nearest university/college/town centre *

Is smoking permitted in the home? *

No smoking Outside only Yes, indoors

Please describe your home and the room(s) offered (furnishings, study space, floor, etc.)

4 Hosting Preferences

Preferred Hosting Duration *

When are you available to start hosting?

Guest category you'd prefer to host (tick all that apply)

International students Language students University/college students Working professionals Any guest

Preferred guest gender

Meals you can provide *

Any pets in the household?

No pets Dogs Cats Other

5 Family & Lifestyle

Tell us about yourself and why you'd like to become a host *

Reference 1 — Name & Phone *

Reference 2 — Name & Phone

Emergency Contact — Name & Phone *

Garda Vetting — Have you been vetted before?

Languages spoken in the home (e.g. English, Irish, French)

Dietary requirements in the home

Religion / cultural considerations

Family interests & activities

6 Home Description

Describe your home & neighbourhood *

Number of rooms available for students *

8 Hosting Details

Weekly rate per student (€) *

Are meals included? *

Minimum stay

Is the home within walking distance of a bus/train? *

Yes No

9 Host Payment Details

Your bank details are stored securely and used only to pay your hosting fees. They are never shared with guests.

Name on Bank Account *

Bank Name *

IBAN *

BIC / SWIFT *

Bank Account Number *

I authorise Host Family in Ireland to use these bank details to pay me hosting fees, and I understand these details are held securely. * I confirm the information provided is accurate and I agree to undergo a Garda vetting check and home safety inspection. * I consent to Host Family Ireland storing and processing my details to assess my hosting application. * I declare that the information provided in this application is accurate and complete. *

Host Family in Ireland Application

1 Personal Information

2 Your Household

3 Accommodation Details

4 Hosting Preferences

5 Family & Lifestyle

6 Home Description

7 Student Bedroom Checklist

8 Hosting Details

9 Host Payment Details