Long-Term Student Application Name * First Name Last Name Date of Birth * MM DD YYYY Gender * Male Female Parent Name * First Name Last Name Parent Email * Phone (###) ### #### Nationality * Home Club * Thank you for applying to be a host family. A member of the EIRE team will be in touch soon. Our Long-Term Students have the opportunity to play rugby and study in Ireland for a school year. Please Note: Applications do not confirm a place on our programme.
