foirmeacha

* Required information Closing Date for application to this programme is April 1, 2020
*First Name:
*Last Name:
*Address for Correspondence:
*Telephone:
*Email: (Please ensure you provide a valid email address as any further correspondence from Acadamh na hOllscolaíochta Gaeilge will be sent to the email address you provide)
*Nationality:
*Gender:	Female Male
*Age group:
If a past Student of NUI Galway please enter previous Student ID Number or state year(s) of study:
*College currently being attended?
Particular Student Needs: None, Access (wheelchair etc.), Learning Supports (Dyslexia, etc.)
*Which Course are you applying for?:	A2 B1
Please specify your accommodation preference:
Do you have any special dietary requirements?
Any additional information you would like to provide

Supporting Documentation - 2 items are required

A copy of your Birth Certificate or Passport
A digital image/passport photo for your student identity card (headshot in pdf or jpeg format)

You can attach the required documents by sending them via email to cursaigaeilgeoegaillimh.ie or by sending them by post to:

An Rúnaí, Acadamh na hOllscolaíochta Gaeilge, An Cheathrú Rua, H91 DH28, Co. na Gaillimhe, Ireland

Delay in sending these documents will mean that your application cannot be processed. Please check that you have answered all questions