International Summer School: Irish Language 2013 Online Application Form

Welcome to the Online Application area for NUI Galway's Irish Language International Summer School Programme.

Closing Date for application to this programme is April 26, 2013.

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

1. Online Application:
Please note that you do not have the facility to "save" the application and return 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) Application Type:
If applying through host institution please specify at "Other"
Independent Enrolment
Other (please specify)

If you selected "other", please specify:

2) Last Name*:

3) First Name(s)*:

4) Title*:
Mr   Mrs   Ms   Miss   Other (please specify)

If you selected "other", please specify:

5) Gender*:
Male   Female

6) Date of Birth*: (Format Day Month Year)
Format DD/MM/YYYY

7) Nationality:

8) If a past Student of NUI Galway please enter previous Student ID Number or state year (s) of study:

9) Correspondence Address*:
Address 1
Address 2
Address 3
Address 4
Address 5:

10) Telephone:

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

12) Particular Student Needs:
Access (Wheelchair etc)
Learning Supports (Dyslexia etc)
Other (please specify)

If you selected "other", please specify:

13) College currently being attended:

14) Major/Level of current studies:

15) G.P.A.:

16) Area/Topics of Special Interest:

17) Specifiy your choice of course*: You may select 1 course only.
SU201 Beginners Course
SU202 Elementary Course
SU301 Intermediate Course
SU302 Ardchúrsa

18) Specifiy your accommodation preference*:
None required
Family Guesthouse - Full board, Sharing
Family Guesthouse - Full board, Single Occupancy

19) Please note any dietary requirements:

20) Additional Information:

2. Supporting Documentation Required:

1. Deposit of €375 (Tuition €250 / Accommodation €125) - can be processed as one
transaction.
International Bank Draft payable to National University of Ireland, Galway or by bank transfer:
Bank of Ireland, 43 Eyre Square, Galway
Account Number 28453773
Sort Code: 90 38 16
IBAN No: IE42 BOFI 90381628453773
BIC (Bank Identifier Code is the SWIFT address of the receiving bank) BOFIIE2D
Please notify Summer School Office when payment has been processed and if possible forward a copy of receipt/giro.
Transfer must be made in Euros and ensure "Summer School" and applicants name is referenced on all bank transfers; if a third party is processing payment, please ensure same.

2. Copy of Birth Certificate/Passport.

3. Passport Photo

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

Fiona Dwyer
Irish Language Summer School Administrator
Summer School Office
National University of Ireland, Galway
IRELAND

Delaying sending in these documents means your application cannot be processed.

The Balance of tuition/fees and accommodation payments must be finalised by May 31, 2013

Check that you have answered all questions.
When completed, please press "submit" to send your application, you are then directed to a Thank You page, which will confirm your application has been successfully submitted.
Best of luck with your application.