Courtyard Student Village

Bru na Gruadan, Castletroy, Limerick

061 332836 / 087 6833790

Summer Application Form

Please fill out the form below in as much detail as possible.

Name*
Mobile No.*
Email*
Are you currently a resident of The Courtyard Student Village?*
- Yes
- No
If you have previously stayed in The Courtyard Student Village - What as your house and room number?*
Home Address*
Date of Birth*
MM slash DD slash YYYY
Gender*
PPS Number (Required for RTB registrations)
Student ID Number (If applicable)
Are you Currently*
Occupation*
Do you require a room / house for the full summer period (13 weeks)*
If you do not require the room / house for the full summer period - How long do you require it for?
House type required*
Number of Occupants*
For Single Occupancy Applicants - Room Type Required
Preferred Check in Date*
DD slash MM slash YYYY

This can be approximately for now - Please choose the date you would like to check in - Must be after May 20th 2023
Preferred Check out Date*
DD slash MM slash YYYY

Please choose the date you would like to check out. This does not have to be exactly precise but a rough estimation - Must be before August 18th 2023
Nationality*
Parent/ Guardian Name (Emergency Contact)*
Parent/ Guardian Contact Number (Emergency Contact)*
Parent / Guardian Email Address (Emergency Contact)*
Specify House Mates Names

Please list anyone that you wish to live with here
Any other comments/requirements