Scholarship Application Form for International Students

Welcome to the online application form to apply for a Scholarship for International students who are not eligible for Fees at EU Rates with NUI Galway 2012.

There is one step in this Application Process:
1. Fill in the Online Application Form, see below.

Closing Date for application to this Scholarship is 5.15pm, Friday 7th September 2012.

1. Online Application:
Please note that you do not have the facility to "save" the application and come back to work at it at a later stage, it must be completed in one sitting, it is recommended you print this out or scroll down and look at it carefully before you begin completing, thank you.

(Those marked with * must be answered).

1) Surname*:

2) First Name(s)*:

3) Gender*:

Male

Female

4) Date of Birth*:

FORMAT DD/MM/YYYY

5) Country of Birth*:

6) Nationality*:

NON-EU

7) Home Address*:

Address 1:
Address 2:
Address 3:
County:

8) Term Address*:

Address 1:
Address 2:
Address 3:
County:

9) Email Address*:
(PLEASE ENSURE YOU PROVIDE A VALID EMAIL ADDRESS AS ANY FURTHER CORRESPONDENCE FROM NUI GALWAY WILL BE EMAILED TO THE EMAIL ADDRESS YOU PROVIDE)

10) Contact Telephone (landline)*:

11) Contact Telephone (mobile)*:

FORMAT 0876503806

12) Please provide below details of your Secondary level Education*:

Name of school:
Address of school:
Year commenced:
Year completed:
Leaving Certificate Points obtained:

13) Have you been offered a place on a fulltime Undergraduate Degree programme at the
University and have accepted that offer in accordance with the relevant procedures
of the University and the Central Applications Office*:

Yes

14) Please provide information relating to the programme you have been offered
and accepted*:

CAO Application Number:
Course Name/Title:
Course Code:

15) Are you a student from a Non-EU country who has completed at least the final two
years of their secondary school studies in Ireland*:

Yes

16) Are you Legally Resident in Ireland*:

Yes

17) I declare that the above details are True and will provide the necessary supporting
documentation to verify the ELIGIBILITY REQUIREMENTS detailed above*.

Yes

Please check that you have answered all questions.

When completed, please press "submit" to send your application, you will then see an acknowledgment, so you will know it was successfully submitted.

The best of luck with your application.