Undergraduate Studies Application Form
Undergraduate Programmes at NUI Maynooth - 2010 Entry

 ADDITIONAL INFORMATION:  ( * question MUST be answered )
                   

 Details of Education (Please indicate relevant educational qualifications and experience
 which form the basis of your consideration for this programme).    Help?
 Title of Award (e.g. Leaving Certificate, FETAC etc):
 
 Subjects Studied and Grades:
 
 Name of Institution Attended:
 If Other Please Specify:
 Address of Institution Attended:  
 
 Period of Attendance: From (yyyy):    To (yyyy): 
 Name of Awarding Body:
 
 Have you completed the programme: Yes No
 

 Additional relevant qualifications (Give details of other relevant qualifications attained)
 
 Title of Qualification 
 
 Level/Class of Award (if applicable) 
 If Other Please Specify:
 Name of Institution Attended: 
 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
 

 
 Details of other Experience (can be sent separately if necessary).
 For example Work (Paid/Unpaid), Education and/or Community Involvement / Cultural Experience.
 

 References : 
 Please provide two academic referees or professional references where required. Applicants are asked to download
 or forward the attached to referees for completion. Please download the reference form here.
 
 Name:  
 Address:  
 Position:  
 Phone No.:  
 Email:  
 
 Name:  
 Address:  
 Position:  
 Phone No.:  
 Email:  
 

 
 English Language Competency (for non-native speakers of the English language only):    Help?
 Examining Body:
 
 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.
 

 
 Where did you hear about the programme/s you are applying for ? * : 
Academic Staff Advertisement Careers Fair/Exhibition (International) Careers Fair/Exhibition (Ireland)
NUI Maynooth Prospectus (hard copy) NUI Maynooth Prospectus (online) NUI Maynooth Website Other Internet Sites
Press/Journal Article Word of Mouth Your Careers Office Other    If Other Please Specify:
 

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