Enniscorthy Vocational College of Further Education

APPLICATION FORM


PLEASE READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING APPLICATION FORM

1. Complete application form in BLOCK CAPITALS
2. Fill in the name and code of course for which you are applying
3. Your PPS No. is essential. (7 digits followed by a letter)
4. All sections must be completed. Please write 'n/a' if a section does not apply to you
5. A passport photograph with your name and PPS No. on the back must be sent to the Further EducationOffice. Enniscorthy Vocational College, .....Milehouse Rd., Enniscorthy, Co. Wexford.
6. Entry to all courses subject to successful interview.
7. Please note that the college reserves the right to cancel any course before registration day should.the minimum number of students required not, ....materialise.


Notes:

1. NON-EU NATIONALS please contact the college concerning fees payable.

2. ALL applicants MUST inform the college if

........(a) you have a criminal record
........(b) you were, are or are expected to be involved in any court case

3. If admitted to the college, you must accept all the colleges regulations, including procedures on criminality and Further Education, ....students

FIRST NAME
SURNAME
ADDRESS
HOME PHONE NO.
MOBILE PHONE No.
DATE OF BIRTH (dd-mm-yyyy)
MOTHER'S MAIDEN NAME
GENDER
MALE
FEMALE
NATIONALITY
PPS No.
E-MAIL
FIRST CHOICE COURSE
SECOND CHOICE COURSE
YEAR OF JUNIOR CERTIFICATE
YEAR OF LEAVING CERTIFICATE / LC APPLIED (Please forward results)
YEAR and LEVEL OF FETAC AWARD
OTHER EDUCATIONAL AWARDS
LAST SCHOOL/COLLEGE/OTHER ATTENDED
STATUS LAST SEPTEMBER (Please select from list)
HEALTH & DISABILITY (Please state any health/disability problems. This information will remain strictly confidential)
PLEASE NOTE THAT 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
Yes
No
DETAILS OF FIRST REFEREE: Name
Address
Position
Phone No.
DETAILS OF SECOND REFEREE: Name
Address
Position
Phone No.
HOW DID YOU HEAR OF THE EVC FURTHER EDUCATION PROGRAMME? * (Please select from list)
If CAREER EXHIBITION or LOCAL NEWSPAPER, PLEASE SPECIFY WHICH ONE(S)