Erin School Of English

In order to control the spread of Covid-19, international students must complete the following form to confirm that they are staying in appropriate accommodation for the duration of their time in Ireland.

This information on this form may be accessed by the Department of Health and the Department of Further and Higher Education, Research, Innovation, and Science to ensure that correct Covid-19 protocols are being followed.

Name:*

Email:*

Student ID Number:*

Address:*

Move in date:*

How long will you be staying at this address?*

Number of people staying at this address:*

Number of people sharing your room:*

Please tick the boxes below to confirm that:

I have read, understood and agreed to abide by current government guidelines.
Yes
I will not stay in accommodation that is overcrowded, unsafe, or unhygienic.
Yes
I will not share a room with more than one person.
Yes
I agree to resubmit this form and provide my school with my new accommodation details if I change address.
Yes
I confirm that the above information is correct. I agree that my data may be used to contact me to verify the provided information and that it may be used for the purposes of contact tracing in relation to confirmed or suspected cases of Covid-19. Your personal data will be treated with utmost care and will never be shared with third parties unless for the purposes specified above.
Yes

Please leave this field empty.