Application Form
Professional Diploma in Education (NUI) - 2012 Entry

 ADDITIONAL INFORMATION:  ( * question MUST be answered )
 
 Please ensure that all information regarding relevant qualifications / employment experience is entered on this page.
 Information omitted from the online application cannot be considered for assessment after the 01 December 2011.
 
 Graduate Applicants  *:     Help?
 Please submit an original or certified copy of statement of results. Your application will not be assessed unless you submit this particular information in
 hardcopy form within 7 days of making your online application.
 
 FULL FORMAL TITLE of eligible degree:
 Name of Institution Attended:
 If Other Please Specify:
 Degree Awarding Body:
 Year of Award:
 Level Degree taken at:
 Have you graduated with an Eligible Degree: Yes No
 Overall Degree Result:
 Actual Result in Primary Degree: Overall % mark Cumulative Grade Point Average Quality Credit Average      
 
 
 
 Postgraduate Qualifications : 
 All qualifications being submitted for assessment purposes must be awarded prior to 01 December 2011. Copies of Awards must be submitted in hardcopy
 format within 7 days of making your online application.
 
Title of Award Year of Award (mm/yyyy) Awarding Body Result Qualification     
/       

  Add additional Postgraduate Qualifications
 
 
 Other Relevant Qualifications : 
 Diploma / Certificate qualifications need to be obtained from courses which are at least 1 year full-time or 2 years part-time. All qualifications being submitted for assessment
 purposes must be awarded prior to 01 December 2011. Copies of Awards must be submitted in hardcopy format within 7 days of making your online application.
 
Title of Award Year of Award Awarding Body Result Qualification    Duration       From Date (mm/yyyy)       To Date (mm/yyyy)        
Full time
Part time		 / /       

  Add additional Other Qualifications
 
 
 Professional Experience  *:     Help?
 Only relevant professional experience, if any, gained up to and including 01 December 2011 will be included for points purposes for 2012 intake. All relevant professional
 experience being claimed for points purposes must be clearly marked and based on paid employment, which can be verified through letter from employer(s) and tax forms.
Click here to download this reference form.
 
 FULL TIME paid Professional Experience  *: 
 
 Number of years of full time paid Professional experience  Tick appropriate box
 5 or more years
  
 4 years
  
 3 years
  
 2 years
  
 1 year
  
 Less than 1 year (Zero Points) 
  
 
 Please ensure that you do NOT include work experience which you are about to gain after 01 December 2011.
 
Name of Employer Address Job Title Type of experience/Main responsibilities From Date
   (mm/yyyy)     		 To Date
    (mm/yyyy)    		       
/ /       

  Add additional full time Professional Experience
 
 
 PART TIME paid Professional Experience  *: 
 
 Number of years of part time paid Professional experience  Tick appropriate box
 2 or more years
  
 1 year
  
 Less than 1 year (Zero Points) 
  
 
 Please ensure that you do NOT include work experience which you are about to gain after 01 December 2011.
 
Name of Employer Address Job Title Type of experience/Main responsibilities From Date
   (mm/yyyy)     		 To Date
    (mm/yyyy)    		       
/ /       

  Add additional part time Professional Experience
 
 
 I confirm that I must provide supporting documentation (i.e. Letter from Employer(s), Tax forms) to PDEAC for any full time and/or part time paid professional experience  *:   
 
 
 Teaching Subjects  *: 
 
 Please state your proposed Teaching Subjects which must be taken to Degree level.
           
 
 
 Teaching Council - Degree Eligibility  *: 
 Before attempting to answer the questions below, you must read the information on the link Teaching Council - Degree Eligibility.
 Further information.

 I confirm that I have read the `Teaching Council - Degree Eligibility` information     

 1. Are you the holder of a Degree OR in the final year of an Eligible Degree, mentioned on the list of Degrees recognised by the Teaching Council OR
     has the Teaching Council assessed your qualifications and determined that they meet the degree registration requirements? Yes No
 
 2. I declare that the subjects taken in my degree qualification fully satisfy the Post-Primary Subject Criteria for the subjects that I intend to teach.      Yes No
 
 3. I authorise Professional Diploma in Education (NUI) Applications Centre to transfer details relating to my application to the Teaching Council on request.   Yes No
 
 I confirm that all the information I provide on this application form is correct and accurate to the best of my knowledge.          
 
 
 

 I wish to continue with my application.
 I wish to save my incomplete application and exit.