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Please read instructions carefully before completing application form

Fill in the name and code of the course you are applying for.
Please fill in your PPS number.
All sections to be completed.
Entry onto all courses subject to successful interview.
Please note: The College reserves the right to cancel any course before registration day should the minimum number of students required for a course not materialise.

Applicant Details

Surname:

First name:

Gender:

Mother's maiden name:

Address:

Town:

County:

EirCode:

DOB:

Contact phone No:

Contact Email:

P.P.S No:

Nationality:

Course Choices

First choice title:

First choice code:

Second choice title:

Second choice code:

Previous Education Record

Junior cert only - year taken:

Leaving cert :

Leaving cert year taken:

QQI level:

QQI level year taken:

Other - please specify:

No prior qualification:

If you are sitting your Leaving Certificate this year please state name of School:

Status last september:

Employed:

Unemployed:

Health & Disability: Please state if you have any health/disability problems. (This information will remain confidential to College authorities and the Course Director):

NON EU NATIONALS please contact the College re fees payable. Where English is not a first language applicants will be required to have a working knowledge of written and spoken English.

English is my first language:

Referees

Please supply the name and contact details of two referees.

Name:

Address:

Position:

Phone No.:

Name:

Address:

Position:

Phone No.:

Other Information

How did you hear of Enniscorthy Community College?

Further information:

Consents

I give consent for the transmission of personal data to the SOLAS for statistical purposes:

Confirmation of application

I understand that I must inform WWETB (a) if I have a criminal record and (b) if I was, am or will be involved in any court case.

If admitted to the college I agree to accept all the college regulations including the procedures on criminality and Further Education students.

By filling in this application I wish to confirm my intention to enrol at the college.

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Application for Enrolment