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Details of Higher Education (Please indicate your primary degree and other
degrees/qualifications which form the basis of your consideration for this programme).
*
Undergraduate Degree Title:
English Translation (if applicable):
*
Level/Class of Award:
1st Class Honours
2nd Class Honours
2nd Class Honours (Grade 1)
2nd Class Honours (Grade 2)
3rd Class Honours
Distinction
Merit
Pass
Pending
Awarded
Other (Please Specify)
If Other Please Specify:
*
Name of Institution Attended:
All Hallows College
American College Dublin
Athlone Institute of Technology
Burren College
Carlow College
Church of Ireland, College of Education
Colaiste Mhuire
Cork Institute of Technology
Dublin Business School
Dublin City University
Dublin Institute of Technology
Dun Laoghaire Institute of Art, Design & Technology
Dundalk Institute of Technology
Froebel College of Education
Galway-Mayo Institute of Technology
Griffith College Dublin
Institute of Technology Blanchardstown
Institute of Technology, Carlow
Institute of Technology, Sligo
Institute of Technology, Tallaght
Institute of Technology, Tralee
Limerick Institute of Technology
Letterkenny Institute of Technology
LSB College
Mary Immaculate College, Limerick
Mater Dei Institute of Education
Milltown Institute
National College of Art & Design
National College of Ireland
NUI Galway (formerly UCG)
Maynooth University
Pontifical University Maynooth
Portobello College
Royal College of Surgeons
Shannon College of Hotel Management
St Angelas College
St Catherines College of Education
St Patricks College, Drumcondra
Tipperary Institute
Tipperary Rural and Business Development Institute
Trinity College Dublin
University College Cork
University College Dublin
University of Limerick
Waterford Institute of Technology
Other (Ireland)
Other (Outside Ireland)
If Other Please Specify:
*
Address of Institution Attended:
*
Country of Institution Attended:
Republic of Ireland
Northern Ireland
England
Scotland
Wales
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verdi Islands
Cayman Islands
Central African Republic
Chad
Chile
China
Chinese Taipei
Colombia
Congo
Cook Islands
Costa Rica
Cote D Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Greenland
Guadelope
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican State)
Honduras
Hong Kong, China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea DPR
Korea Republic
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives Republic
Mali
Malta
Marshall Island
Martinique
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome e Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Kitts and Nevis
St Lucia
St Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Uganda
Ukraine
United Arab Emirates
United States of America
Uruguay
US Virgin Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam SR
Yemen
Zambia
Zimbabwe
*
Period of Attendance:
From (yyyy):
To (yyyy):
*
Main Subjects Studied:
*
Have you completed the programme:
Yes
No
If No, Date Final Results will be available:
/
mm/yyyy
Additional relevant qualifications (Give details of other relevant qualifications attained)
Title of other Degree/Qualification:
English Translation (if applicable):
Level/Class of Award:
1st Class Honours
2nd Class Honours
2nd Class Honours (Grade 1)
2nd Class Honours (Grade 2)
3rd Class Honours
Distinction
Merit
Pass
Pending
Awarded
Other (Please Specify)
If Other Please Specify:
Name of Institution Attended:
All Hallows College
American College Dublin
Athlone Institute of Technology
Burren College
Carlow College
Church of Ireland, College of Education
Colaiste Mhuire
Cork Institute of Technology
Dublin Business School
Dublin City University
Dublin Institute of Technology
Dun Laoghaire Institute of Art, Design & Technology
Dundalk Institute of Technology
Froebel College of Education
Galway-Mayo Institute of Technology
Griffith College Dublin
Institute of Technology Blanchardstown
Institute of Technology, Carlow
Institute of Technology, Sligo
Institute of Technology, Tallaght
Institute of Technology, Tralee
Limerick Institute of Technology
Letterkenny Institute of Technology
LSB College
Mary Immaculate College, Limerick
Mater Dei Institute of Education
Milltown Institute
National College of Art & Design
National College of Ireland
NUI Galway (formerly UCG)
Maynooth University
Pontifical University Maynooth
Portobello College
Royal College of Surgeons
Shannon College of Hotel Management
St Angelas College
St Catherines College of Education
St Patricks College, Drumcondra
Tipperary Institute
Tipperary Rural and Business Development Institute
Trinity College Dublin
University College Cork
University College Dublin
University of Limerick
Waterford Institute of Technology
Other (Ireland)
Other (Outside Ireland)
If Other Please Specify:
Address of Institution Attended:
Country of Institution Attended:
Republic of Ireland
Northern Ireland
England
Scotland
Wales
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verdi Islands
Cayman Islands
Central African Republic
Chad
Chile
China
Chinese Taipei
Colombia
Congo
Cook Islands
Costa Rica
Cote D Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Greenland
Guadelope
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican State)
Honduras
Hong Kong, China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea DPR
Korea Republic
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives Republic
Mali
Malta
Marshall Island
Martinique
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome e Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Kitts and Nevis
St Lucia
St Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Uganda
Ukraine
United Arab Emirates
United States of America
Uruguay
US Virgin Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam SR
Yemen
Zambia
Zimbabwe
Period of Attendance:
From (yyyy):
To (yyyy):
Main Subjects Studied:
Have you completed the programme:
Yes
No
If No, Date Final Results will be available:
/
mm/yyyy
Title of other Degree/Qualification:
English Translation (if applicable):
Level/Class of Award:
1st Class Honours
2nd Class Honours
2nd Class Honours (Grade 1)
2nd Class Honours (Grade 2)
3rd Class Honours
Distinction
Merit
Pass
Pending
Awarded
Other (Please Specify)
If Other Please Specify:
Name of Institution Attended:
All Hallows College
American College Dublin
Athlone Institute of Technology
Burren College
Carlow College
Church of Ireland, College of Education
Colaiste Mhuire
Cork Institute of Technology
Dublin Business School
Dublin City University
Dublin Institute of Technology
Dun Laoghaire Institute of Art, Design & Technology
Dundalk Institute of Technology
Froebel College of Education
Galway-Mayo Institute of Technology
Griffith College Dublin
Institute of Technology Blanchardstown
Institute of Technology, Carlow
Institute of Technology, Sligo
Institute of Technology, Tallaght
Institute of Technology, Tralee
Limerick Institute of Technology
Letterkenny Institute of Technology
LSB College
Mary Immaculate College, Limerick
Mater Dei Institute of Education
Milltown Institute
National College of Art & Design
National College of Ireland
NUI Galway (formerly UCG)
Maynooth University
Pontifical University Maynooth
Portobello College
Royal College of Surgeons
Shannon College of Hotel Management
St Angelas College
St Catherines College of Education
St Patricks College, Drumcondra
Tipperary Institute
Tipperary Rural and Business Development Institute
Trinity College Dublin
University College Cork
University College Dublin
University of Limerick
Waterford Institute of Technology
Other (Ireland)
Other (Outside Ireland)
If Other Please Specify:
Address of Institution Attended:
Country of Institution Attended:
Republic of Ireland
Northern Ireland
England
Scotland
Wales
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verdi Islands
Cayman Islands
Central African Republic
Chad
Chile
China
Chinese Taipei
Colombia
Congo
Cook Islands
Costa Rica
Cote D Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Greenland
Guadelope
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican State)
Honduras
Hong Kong, China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea DPR
Korea Republic
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives Republic
Mali
Malta
Marshall Island
Martinique
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome e Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Kitts and Nevis
St Lucia
St Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Uganda
Ukraine
United Arab Emirates
United States of America
Uruguay
US Virgin Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam SR
Yemen
Zambia
Zimbabwe
Period of Attendance:
From (yyyy):
To (yyyy):
Main Subjects Studied:
Have you completed the programme:
Yes
No
If No, Date Final Results will be available:
/
mm/yyyy
Title of other Degree/Qualification:
English Translation (if applicable):
Level/Class of Award:
1st Class Honours
2nd Class Honours
2nd Class Honours (Grade 1)
2nd Class Honours (Grade 2)
3rd Class Honours
Distinction
Merit
Pass
Pending
Awarded
Other (Please Specify)
If Other Please Specify:
Name of Institution Attended:
All Hallows College
American College Dublin
Athlone Institute of Technology
Burren College
Carlow College
Church of Ireland, College of Education
Colaiste Mhuire
Cork Institute of Technology
Dublin Business School
Dublin City University
Dublin Institute of Technology
Dun Laoghaire Institute of Art, Design & Technology
Dundalk Institute of Technology
Froebel College of Education
Galway-Mayo Institute of Technology
Griffith College Dublin
Institute of Technology Blanchardstown
Institute of Technology, Carlow
Institute of Technology, Sligo
Institute of Technology, Tallaght
Institute of Technology, Tralee
Limerick Institute of Technology
Letterkenny Institute of Technology
LSB College
Mary Immaculate College, Limerick
Mater Dei Institute of Education
Milltown Institute
National College of Art & Design
National College of Ireland
NUI Galway (formerly UCG)
Maynooth University
Pontifical University Maynooth
Portobello College
Royal College of Surgeons
Shannon College of Hotel Management
St Angelas College
St Catherines College of Education
St Patricks College, Drumcondra
Tipperary Institute
Tipperary Rural and Business Development Institute
Trinity College Dublin
University College Cork
University College Dublin
University of Limerick
Waterford Institute of Technology
Other (Ireland)
Other (Outside Ireland)
If Other Please Specify:
Address of Institution Attended:
Country of Institution Attended:
Republic of Ireland
Northern Ireland
England
Scotland
Wales
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verdi Islands
Cayman Islands
Central African Republic
Chad
Chile
China
Chinese Taipei
Colombia
Congo
Cook Islands
Costa Rica
Cote D Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Greenland
Guadelope
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican State)
Honduras
Hong Kong, China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea DPR
Korea Republic
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives Republic
Mali
Malta
Marshall Island
Martinique
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Sao Tome e Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Kitts and Nevis
St Lucia
St Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Uganda
Ukraine
United Arab Emirates
United States of America
Uruguay
US Virgin Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam SR
Yemen
Zambia
Zimbabwe
Period of Attendance:
From (yyyy):
To (yyyy):
Main Subjects Studied:
Have you completed the programme:
Yes
No
If No, Date Final Results will be available:
/
mm/yyyy
Professional/Industrial Experience
(Give details of most recent relevant professional and/or industrial business experience.
Details of other experience can be sent separately):
Period of Employment:
Position Held:
Nature of Duties:
Name of Employer:
Address of Employer:
English Language Competency (for non-native speakers of the English language only):
Examining Body:
Irish Leaving Certificate English
GCSE A-Level English Language
GCE O-Level English Language
University of Cambridge Local Examinations Syndicate - GCE
TOEFL Computer Based Test
TOEFL Paper Based Test
IELTS
University of Cambridge Local Examinations Syndicate - Certificate of Proficiency in English
University of Cambridge Local Examinations Syndicate - Certificate of Advanced English
ARELS oral Examinations (Higher Certificate)
TOEFL Internet Based Test
Date of Completion:
/
/
dd/mm/yyyy
Score:
Publications:
List publications with date, subject and journal title. Use additional sheet if necessary, indicating your PAC Application
number at the top of each sheet, and post to Postgraduate Applications Centre, 1 Courthouse Square, Galway, Ireland.
Date
Subject
Journal Title
/
mm/yyyy
/
mm/yyyy
/
mm/yyyy
*
Source of Finance:
Please state how you intend to finance your proposed study. Give details of any application(s) for grant/scholarship that you have made.
If a grant/scholarship has been awarded, please attach a copy of your award letter.
*
References:
Non-UCC applicants must provide the names of two referees (at least one should be an academic referee).
Please ensure references are forwarded to the Postgraduate Applications Centre, 1 Courthouse Square,
Galway, IRELAND. Your PAC application number should be clearly indicated on the references.
Name:
Address:
Institution:
Position:
Phone No.:
Email:
Name:
Address:
Institution:
Position:
Phone No.:
Email:
IMPORTANT NOTE
Candidates applying to research programmes in Arts, Law, Commerce or Medicine & Health are required to submit a research proposal (1500 words approx. and 500 words in the case of Commerce applications).
Note: a research proposal is not required in the case of the PhD in BIS – CKN18, DSocSc - CKH71 or DClinDent Orthodontics CKZ62).
Research proposals can be submitted by either uploading them via the 'My Account' link or by posting them to the Postgraduate Applications Centre (PAC), 1 Courthouse Square, Galway, clearly indicating your PAC Number.
Where did you first hear about the programme/s you are applying for ?
*
:
Academic Staff
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Postgraduate Fair/Exhibition (International)
Postgraduate Fair/Exhibition (Ireland)
UCC Information Session
UCC Postgraduate Open Day
UCC Online Postgraduate Prospectus
Other Internet Sites
Press Article
Word of Mouth
Your Careers Service
Other
If Advertisement/Careers Fair/Exhibition/Other internet sites/Other
Please Specify:
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