Certificate in Employee Assistance & Social Support 2012 Online Application Form

Welcome to the Online Application area for NUI Galway's Adult & Continuing Education Programmes.

Closing Date for application to this programme is 5pm, Friday July 13th, 2012.

There are two steps in this Application Process:
1. Fill in an Online Application Form, see below.
2. Then post in Relevant Supporting Documentation, see below.

1. Online Application:
Please note that you do not have the facility to "save" the application and come back to work on it at a later stage, it must be completed in one sitting, it is recommended therefore, that you scroll down through the form initially and look at it carefully before you start to complete it. Thank you.

(Those marked with * must be answered)

1) Have you previously studied at NUI Galway?




5) Gender*:





10) Address for Correspondence:


FORMAT 0866001012

13) Payment of fees (please tick):
If your sponsor is funding your participation on this course, please enclose a completed Sponsorship Letter with your application.

14) Particular student needs:

15) Qualifications:

16) Name and Address of Previous Employers (past 10 years):




2. Supporting Documentation Required:

1. A Non-Refundable Deposit of €500 Bankdraft/Postal Order only payable
    to National University of Ireland, Galway.

2. Signed passport photograph 

3. Copy of Birth Certificate/Passport/Drivers Licence.  (If you wish to register in your
    married name a copy of your Marriage Certificate must also be submitted.

4. Sponsorship Letter. ( available to download after submission of online application)

5. IELTS/TOEFL for applicants whose first language is not English

The above Supporting Documentation is required to supplement your online application and should be posted to:

Pauline Dillon
Programme Administrator
Certificate / Diploma in Employee Assistance and Social Support
Open Learning Centre
Ballard House
or e-mailed to pauline.dillon@nuigalway.ie

Please ensure the supporting documents are sent as soon as possible after submitting your online application.

Please check that you have answered all questions.
When completed, please press "submit" to send your application, you will then be sent an acknowledgment, so you will know it was successfully submitted. 
Best of luck with your application.

Online Survey Software powered by Vovici.