Laois Education Centre SUMMER COURSE APPLICATION FORM
Laois Education Centre SUMMER COURSE APPLICATION FORM
Laois Education Centre SUMMER COURSE APPLICATION FORM
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<strong>Laois</strong> <strong>Education</strong> <strong>Centre</strong><br />
<strong>SUMMER</strong> <strong>COURSE</strong> <strong>APPLICATION</strong> <strong>FORM</strong><br />
Course Title<br />
& ICT Code __________________________________________________<br />
Teacher Name:<br />
___________________________________________<br />
School Name: _________________________________________________<br />
School Address:<br />
___________________________________________<br />
___________________________________________<br />
Teaching Council Number: ____________School Roll No: ___________<br />
School email:<br />
Home email:<br />
School Phone:<br />
___________________________________________<br />
___________________________________________<br />
___________________________________________<br />
Personal Mobile: __________________________________________<br />
(Places will be confirmed by text)<br />
_____________________________________________________________________<br />
Please note confirmation of places on courses will be confirmed by text.<br />
Please return the completed booking forms to<br />
<strong>Laois</strong> <strong>Education</strong> <strong>Centre</strong>, Block Road, Portlaoise, Co <strong>Laois</strong><br />
With the appropriate fee.<br />
Summer Course Fees: €50<br />
ICT Course Registration Fee: €10<br />
Closing date for Summer Course applications is: Friday 8th June 2012
Please return the completed application form for the attention of Catherine to<br />
<strong>Laois</strong> <strong>Education</strong> <strong>Centre</strong>, Block Road, Portlaoise, Co. <strong>Laois</strong> with a non-refundable<br />
registration fee of €10.00.
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