( * question MUST be answered )
 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: 
                               If Other Please Specify:
 * Name of Institution Attended: 
                               If Other Please Specify:
 * Address of Institution Attended: 
 * Country of Institution Attended:
 * 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: 
                        If Other Please Specify:
 Name of Institution Attended: 
                        If Other Please Specify:
 Address of Institution Attended: 
 Country of Institution Attended: 
 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: 
                       If Other Please Specify:
 Name of Institution Attended: 
                       If Other Please Specify:
 Address of Institution Attended: 
 Country of Institution Attended: 
 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: 
                       If Other Please Specify:
 Name of Institution Attended: 
                       If Other Please Specify:
 Address of Institution Attended: 
 Country of Institution Attended: 
 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:
 Date of Completion: / /  dd/mm/yyyy
 Score:
 
 
 Where did you first hear about the programme/s you are applying for ? * : 
Academic Staff Advertisement 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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