( * question MUST be answered ) ( ** question must be answered by Irish Nationals)
 Name (as you wish it to appear on all official University records):
 Surname * :
 First Names * :
 
Date of Birth * :  /   / 
 PPS Number ** :
 
 Gender * :  Male Female
 Medical Condition/Disability Difficulty * :  Yes No   (If you selected yes please click )
 
 Address  * : Ireland Other Country
 
 
 
 
 
 Main Contact Number * :
 Mobile Telephone:
 Work Telephone:
 
 Country of Nationality * :
 Country of Birth * :
 
 Most recent Educational Institution Attended * : 
 
 Applicant's Current Status * :  Undergraduate Graduate
 
 University / Subject choices   
 
 Please ensure that the Universities you are applying to actually offer modules in the particular subject(s)
 you intend to teach.
 
 Please select the university / universities from the list below for which you wish to be considered.
 It is important to note, you’re NOT listing your preference here.
 
             *      
 
 
             *      
 
 
             *      
 
 
             *      
 
 
             *      
 
 Please select your proposed Teaching Subjects which must be taken to Degree level.
 Tip: Hdown `ctrl` key (PC) or ‘command’ key (Apple) to select multiple subjects (max=2).
 
 
 
 
 Based on your degree subjects, the following courses choices are available to you
 to choose from in genuine order of preference. Please enter `1` in the preference
 box beside your preferred first choice and continue with the other available choices
 (e.g. `2` for your second choice, `3` for your third and so on).

 Please focus on the university when selecting your preferences as opposed to the subjects.

 Please note it is important to list your University preference ahead of the subject in the list below.
 
    Preference    Course Code    Subject & University Names
                          
>>>