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Certificate in Training and Education 2012 - 2013 Online Application Form


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


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?




2)


3)


4)


5) Gender*:

6)
Format DD/MM/YYYY

7)


8)


9)


10) Home Address:

11) Address for Correspondence:

12)


13)


14)
FORMAT 0866001012

15)


16) Particular student needs:







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







18) Please provide below details of your Employment History (commencing with the most recent):

19)


20)


21)


22) Description of training experience:

23)


24) Qualifications (Applicants may be requested to forward syllabus and other details of undergraduate courses followed):

25) Have you completed the Foundation Diploma in Training and Education at NUI, Galway?






26) Have you completed the Certificate in Training and Education at NUI, Maynooth?
(If yes, please submit a copy of your certificate with this application).






27) Leaving Certificate or final examinations

28) Name and Address of two independent referees

29) Proposed Workshop venues are listed below.  Please indicate your order of preference (1 = first, 2 = 2nd etc.).  Workshops will be supplied at theses venues subject to demand.


2. Supporting Documentation Required:

1. Sponsorship Letter, if applicable.

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. International Language Testing System (ILTS) certificate/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:

Administrator
Certificate in Training and Education
Open Learning Centre
Ballard House
Westside
Galway

or e-mailed to edel.molloy@nuigalway.ie

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

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.



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