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PDF application form - Study Group

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Section A<br />

Application for International Foundation Year<br />

(Students are usually 17 years of age or above on commencement of the International Foundation Year at the UCDISC.)<br />

www.ucd.ie/isc<br />

family name<br />

other names<br />

religion<br />

country of birth<br />

country of normal residence<br />

student details<br />

title<br />

date of birth<br />

age<br />

sex male female<br />

nationality<br />

home address<br />

city<br />

country / zip or postcode<br />

home telephone<br />

marital status<br />

first language<br />

language of instruction to date<br />

ethnicity<br />

mobile / cell<br />

fax<br />

email<br />

Tick this box if you would like to receive periodic special offers and news from UCDISC.<br />

You can unsubscribe at any time, and your email address remains confidential.<br />

parent/guardian<br />

(for students under 18 only)<br />

name<br />

relationship to student<br />

email<br />

mobile<br />

business telephone<br />

home address<br />

city<br />

country / zip or postcode<br />

home telephone<br />

fax<br />

Please give details of your current or most recent school, college or university. Ensure official transcripts, latest available results or forecast results are attached, in English.<br />

previous education<br />

name of school/college/university<br />

address<br />

country / zip or postcode<br />

telephone<br />

fax<br />

email<br />

English Language Preparation (ELP). Please note, you will need the equivalent of IELTS 5.0 (minimum 5.0 in writing) to commence the International Foundation Year.<br />

Current English language proficiency: please tick appropriate box and enter score or grade if applicable.<br />

current level of english ielts toefl gcse (grade) other approved english test<br />

elp*<br />

requested length of english language preparation 1 term 2 terms elp not needed<br />

date you wish to start your english course.<br />

if you have the equivalent of ielts 4.0 you will need<br />

at least one term of elp<br />

september 2011 april 2012* june 2012<br />

course selection*<br />

date you wish to start your course september 2011 january 2012 september 2012<br />

please indicate intended route: business, economics and social studies science, engineering and biomedical<br />

intended undergraduate degree at university college dublin<br />

(general subject area or specific degree programme)<br />

* fees may be subject to increase in 2012<br />

Continue to section C

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