Independent Colleges - Application Form

Application Form

Personal Details

* Full Name (as on birth certificate):

* Postal Address:

* E-mail Address:

* Confirm E-mail Address (re-type):

Date of Birth:

Nationality:

Home telephone:

Mobile telephone:

Emergency contact:

Details of any disability or any special needs:

Where did you hear about Independent Colleges?

Employment Details

Employer Name and Address:

Employer Telephone number:

Education Details

Second Level

Name of School:

Years of Attendance:

Leaving Cert Year Of Completion:

CAO Number (if applicable):

Points Received:

Third Level

Name of School/College/University:

Qualification:

Awarding Body:

Final Award Received:

Years Of Attendance:

Application for Advanced Entry

Do you wish to apply for exemptions:

Yes
No

(if yes please forward a photocopy the relevant official examinations results and a full course syllabus to this application) What exemptions do you wish to be considered for?

Study Mode

Full Time
Evening Time

Programme Applying for:

MA Journalism
BA (Hons) Journalism
MA in Psychoanalytic Psychotherapy
BA (Hons) in Psychotherapeutic Studies
H.Dip in Psychotherapy
LL.B (Hons) in Irish Law
MA in Accounting
LL.M Comparative Media Law
BA (Hons) in General Arts
BBS (Hons)
MA Dispute Resolution
MA in Radio and TV Journalism

Please note for the MA in Psychoanalytic Psychotherapy and BA in Psychotherapeutic Studies, applicants must be over 23 years of age by the 1st of January of the year of application.

Declaration

I hereby confirm that the information given above is correct and I undertake to comply with all regulations of Independent Colleges. I understand that Independent Colleges maintains the right to change any of the details given in any course brochure and that courses are offered subject to student demand. Course fees will not be refunded once a course has commenced.

The college reserves the right to apply to the Garda Central Vetting Unit with a request to vet all prospective students on our Psychotherapy programmes. By submitting this application you agree that the college is free to make such an application in your case and that any problem arising from that enquiry may result in your being removed from the course at a later date.

* Do you have legal entitlement to remain in the country to complete the proposed course of study without the requirement of a study visa?

Yes
No