Application Form: for the Academic Year 2018/2019
Griffith Halls of Residence

Personal Information
Title     Gender
First Name   Surname/Familyname  
Date of Birth     Nationality  
Academic Status  

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

Contact Information
E-mail   Mobile/Cell    
Home Address Parent/Guardian Address
Please include all details i.e. postcode or your refunds may be delayed.   Please include all details i.e. postcode or your refunds may be delayed.  
City   City  
County   County  
Post Code   Post Code  
Country   Country  
Landline telephone   Landline telephone
Parent/Guardian Contact Details
Name   Relationship to You.
Mobile/Cell   Email Address  

 Booking Period    
Expected Arrival Date                                          
Expected Departure Date                                   
Please Note:We try our best to give students their preference but this is not always possible.
Only select room types that you are willing to accept if 1st choice is not offered
1st Choice* - Apartments/Room Type          
2nd Choice* - Apartments/Room Type       
3rd Choice* - Apartments/Room Type       
Do you want to rent the following for your stay?There is a once off payment for the duration for your stay.Items must be return on check out.
Room Share
Please Note: We do not guarantee who your room mates will be.
Room Share1  
Apt Share 2  
Apt Share 3  
Where did you hear about Griffith Halls of Residence?  
Specify Details :             
Additional Information
I Understand that the €300 application fee is non refundable.
I confirm that the particulars above are true and correct. I have read the Terms and Conditions and agree to comply
with all rules, conditions and agreements as outlined in the lease agreement by submitting this application form.