Primary Qualification
Further Qualification(s)
Professional Experience
References
English Competency
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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:
Undergraduate Degree Title (English Translation)
(if applicable):
Result of Award (if applicable)
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:
Level/Class of Award
Undergraduate Diploma
Undergraduate Degree
Postgraduate Diploma
Taught Masters
Research Masters
PhD
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:
Period of Attendance:
From (yyyy):
To (yyyy):
Name of Awarding Body:
Main Subjects Studied:
Have you completed the programme:
Yes
No
Additional relevant qualifications (Give details of other relevant qualifications attained)
Title of other Degree/Qualification
Title of other Degree/Qualification (English Translation) (if applicable):
Result of Award (if applicable)
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:
Level/Class of Award
Undergraduate Diploma
Undergraduate Degree
Postgraduate Diploma
Taught Masters
Research Masters
PhD
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:
Period of Attendance:
From (yyyy):
To (yyyy):
Name of Awarding Body:
Main Subjects Studied:
Have you completed the programme:
Yes
No
Title of other Degree/Qualification
Title of other Degree/Qualification (English Translation) (if applicable):
Result of Award (if applicable)
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:
Level/Class of Award
Undergraduate Diploma
Undergraduate Degree
Postgraduate Diploma
Taught Masters
Research Masters
PhD
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:
Period of Attendance:
From (yyyy):
To (yyyy):
Name of Awarding Body:
Main Subjects Studied:
Have you completed the programme:
Yes
No
Title of other Degree/Qualification
Title of other Degree/Qualification (English Translation) (if applicable):
Result of Award (if applicable)
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:
Level/Class of Award
Undergraduate Diploma
Undergraduate Degree
Postgraduate Diploma
Taught Masters
Research Masters
PhD
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:
Period of Attendance:
From (yyyy):
To (yyyy):
Name of Awarding Body:
Main Subjects Studied:
Have you completed the programme:
Yes
No
Professional/Industrial/Educational Experience
(Give details of most recent relevant professional and/or industrial and/or educational business experience.
Details of other experiencecan be sent separately if necessary).
Period of Employment:
No Work Experience
1 Month to 1 Year
1 Year to 2 Years
2 Years to 3 Years
3 Years to 4 Years
4 Years to 5 Years
5 Years to 10 Years
10 Years to 15 Years
15 Years and More
Position Held:
Nature of Duties:
Name of Employer:
Address of Employer:
References
*
:
Maynooth University students SHOULD ONLY provide details of two referees.
NON Maynooth University graduates should provide two academic referees.
*
Referee 1
Name:
Address:
Position:
Phone No.:
Email:
*
Referee 2
Name:
Address:
Position:
Phone No.:
Email:
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
IELTS
TOEFL Computer Based Test
TOEFL Paper Based Test
University of Cambridge Local Examinations Syndicate - GCE
University of Cambridge Local Examinations Syndicate - Certificate of Proficiency in English
University of Cambridge Local Examinations Syndicate - Certificate of Advanced English
Higher Education through Medium of English
Other English Language Examination – Please Specify
If Other please specify:
Date of Completion:
/
/
dd/mm/yyyy
Score:
Please tick
ONE
of the following categories
*
:
1.
I am a national of an EU member state.
2.
I am a national of an non-EU member state. Click here for Visa information.
What influenced you most in your decision to come to Maynooth University?
*
:
Academic Staff
Course availability
Education exhibition or fair
Location
Newspaper Advertisement
Maynooth University Website
Open Day
Personal Recommendation
Maynooth University Prospectus
University Reputation
Your Careers Office
Other
If Other Please Specify:
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