• ADULT & CONTINUING EDUCATION COURSES APPLICATION FORM 2016/2017

  • PERSONAL INFORMATION

  • (Required by Department of Education & Science)
  • EMERGENCY CONTACT DETAIL: Please give details of parent/guardian / next of kin who can be contacted in case of emergency.

  • COURSE FOR WHICH YOU WISH TO ENROL

  • PREVIOUS LOCATION

    Please choose ONE option only – we are required to collect this information for statistical purposes by SOLAS / Department of Education and Skills
  • EDUCATIONAL BACKGROUND

    ( Please tick all relevant categories)
  • COMPUTER SKILLS

  • If you have no experience with the use of computers, please write NONE in the space provided below
  • MEDICAL HISTORY

  • PLEASE RETURN COMPLETED APPLICATION FORM TO COLÁISTE EOIN WITH REGISTRATION FEE OF €50 (NON REFUNDABLE), TOGETHER WITH A PASSPORT SIZED PHOTOGRAPH AND CURRENT MEDICAL CARD

  • FOR OFFICE USE ONLY

  • Price: 50,00 €