Application Form: for the Academic Year 2020/2021
Griffith Halls of Residence
This form must only be completed by the Student applying for accommodation (not the Parent/Guardian)

Personal Information
Title     Gender
First Name   Surname/Family Name  
Date of Birth     Country of Origin  
You must be over 18 at the start of term
Level of college you will be at while staying at GHR  

What College shall you attend
What is your home University/College  
Course of Study   

Contact Information - You Contact Information - Your Parent/Guardian
Email Address  
Email Address  
Relationship to You  
Home Address Parent/Guardian Home Address
Street Address   Street Address  
City   City  
County   County  
Post Code   Post Code  
Country   Country  
Home Phone Number   Home Phone Number  
Mobile/Cell     Mobile/Cell  

A Booking Period
Booking Period     
Expected Arrival Date                                          
Expected Departure Date                                   
We provide an Early Arrival Option, subject to availability. Please email for details (Terms and Conditions apply)
B Room Type
Only select room types that you are willing to accept if 1st choice is not offered.
1st Choice - Room Type          
2nd Choice - Room Type       
3rd Choice - Room Type       
C Room Share Preference
We allocate students in pairs, if you have a friend you wish to share a room with, please name him/her here and ensure your friend names you as well (in their application form). "
Please note: We do not guarantee who your roommates/flatmates will be. We will do our best to meet your requirements, however this will depend on availability and the share preferences of others.
Room Share  
D Apartment Share Preference
Most apartments house a total of four students in two twin rooms. We generally allocate students in pairs. If three students want to share an apartment we recommend one student choosing a single and the other two picking a twin room. If all three want to share in twin rooms and we need to allocate a fourth to your room to fill the final space, we do our best to ensure the person is someone we believe the other three will get along with.
Apartment Share 1  
Apartment Share 2  
If no share preference is given we allocate students based on their answers to our check-in form questionnaire.
E Extras
Do you want to rent:
The charge will be deducted from your Security Deposit. Items must be returned on check out.
Where did you hear about Griffith Halls of Residence?  
Specify Details :             
Additional Information
I understand the only grounds whereby the €300 Application Fee is refundable as outlined here.
I have read the Terms and Conditions and agree to comply
with the terms of the GHR Community Values agreement.