Application Form - Diploma in Irish (A2)


Completing the application form does not oblige you to accept a place on this course.
   
  * Necessary Information
*Surname:
*First Name(s):
*Gender:  Female  Male
*Date of Birth:
Are you/were you a student of NUI, Galway? If you are/were please enter your Student Registration Number below.
NUI, Galway Student Registration Number:
PPS Number:
*Nationality:
*Country of Birth:
Address for correspondence:(correspondence will be sent to this address - please ensure you can be contacted at this address)
Home Address: (if different from above)
Home Phone:
Mobile Phone:
E-mail:
Please click the appropriate circle:  NUI, Galway Staff Member 
 NUI, Galway Student
 NUI, Galway Alumnus
Other
Leaving Certificate Irish result (if applicable): Grade:    Level:

Although you are not obliged to do so, if you have a disability or specific learning difficulty you are encouraged to indicate this on the Application Form in order to avail of the appropriate support from the University. Please tick this box (if applicable): 


Where did you hear about this Diploma?  Radio
 Newspaper
 Word Of Mouth
 Internet
Other
If you clicked "Other", please elaborate here:

The fee is €990 per year. €500 must be paid before the start of the Diploma. The remainder will be due before the start of November. The fee for full time students of NUIG is €200. 

If you are not a student of NUI, Galway, you will be required to send a birth certificate and a passport-sized photograph to Oifig an Dioplóma (contact details below) before the start of the course.

 

Contact Details

Caitríona Leather,
Oifig an Dioplóma sa Ghaeilge
Acadamh na hOllscolaíochta Gaeilge
Ollscoil na hÉireann, Gaillimh
Gaillimh.

T +353 91495248
E andioplomasaghaeilge@oegaillimh.ie