Non-EU Undergraduate Application Form SECTION A: PERSONAL INFORMATION First Name Middle Name Last/Family Name Date of Birth (dd/mm/yy) Male Female Home Address Home Tel. Number Mobile Number Email Address Address for Correspondence (if different from Home Address) Country of Residence Citizenship Nationality Passport No. Where did you hear about NUI Galway? NUI Galway website Other website. Please specify: Education Fair or Event. Please specify: NUI Galway Agent/Representative. Please specify: Other. Please specify: Important: NUI Galway will communicate with you by e-mail regarding your application. Please ensure you add @nuigalway.ie to your address book or safe sender list to ensure that you receive e-mail messages from NUI Galway. For Office Use Only Date Reference Code Note SECTION B: PROGRAMME SELECTION Applicants may list up to 3 programmes in order of preference. Please refer to www.nuigalway.ie/courses/undergraduate-courses/ for a list of undergraduate degree programmes (courses) available at NUI Galway. Different programmes may have different entry requirements. If your first choice programme is not available, or if you do not meet the programme’s specific entry requirements, you will be considered for your second and third choice selections accordingly. For more information about specific programmes and entry requirements, please contact the International Affairs Office, NUI Galway by email to international@nuigalway.ie Preference 1 Code GY 2 GY 3 GY Degree Programme SECTION C: SECONDARY LEVEL EDUCATION Secondary School: Address: Date Entered (dd/mm/yy) Graduation Date (dd/mm/yy) Secondary Level Academic Record Name of Secondary School Qualification (e.g. High School Graduation Diploma, International Baccalaureate, A Levels, Higher Secondary Certificate, etc.) Secondary School Courses/Subjects (Current Year and Last Year) From (dd/mm/yy) To (dd/mm/yy) Grade/Predicted Grade Other Standardised Tests (if applicable) AP Date Subject Score SAT Date Section Score ACT Date Section Score SAT Subject Tests Date Subject Score SECTION D: HIGHER LEVEL EDUCATION (IF APPLICABLE) Most recent College/University: Address: Date Entered (dd/mm/yy) Graduation Date (dd/mm/yy) Major Credits Completed Degree Awarded GPA Please list any other higher level colleges or universities schools you have attended: College/University Dates Attended (dd/mm/yy)-(dd/mm/yy) College/University Dates Attended (dd/mm/yy)-(dd/mm/yy) College/University Dates Attended (dd/mm/yy)-(dd/mm/yy) SECTION E: ENGLISH LANGUAGE PROFICIENCY Is English your First Language (Mother Tongue)? Yes No Applicants whose first language is not English, or who have not been educated through the medium of English, are required to provide evidence (IELTS, TOEFL or CAMBRIDGE) of their standard of English. Tests must be taken within 2 years prior to commencement of study at NUI Galway. Test (e.g. IELTS, TOEFL etc.) Date Score SECTION F: CERTIFICATION I acknowledge that all the particulars given on this form are in all respects true. (Print before signing). Signature: Date: APPLICATION INSTRUCTIONS This form is only to be used by applicants: (a) who are applying for an International (non-EU) place on an eligible full time undergraduate degree programme* and (b) who are normally resident outside of the European Union (EU) and (C) who are presenting secondary level qualifications from outside the European Union (EU) Irish and EU/EEA applicants should apply via the Central Applications Office. See www.cao.ie for application details. *Please note that certain degree programmes in Medicine, Nursing and Health Sciences have restricted entry for international students. Applicants should contact the Admissions Office at NUI Galway at admissions@nuigalway.ie for separate application details and deadlines. Applications for Medicine submitted to the International Affairs Office will not be reviewed. Please ensure you submit official records of the self-reported information contained in your application. Complete applications must include: ☐ A completed Application Form. ☐ Original or certified copies of school transcripts/examination certificates (or forecast results if available). Where an applicant has not yet completed Secondary School (High School), the most recent transcript should be submitted. ☐ SAT and/or ACT scorecard (US Applicants Only). The NUI Galway College Board code is 5878 for SAT and AP reports. The NUI Galway ACT code is 5351. ☐ A Personal Statement (typed) of no more than 800 words outlining your academic interests, sporting and/or cultural interests and your reasons for applying to NUI Galway. ☐ A certified true copy of your Birth Certificate or Passport. ☐ Two sealed Letters of Recommendation, ideally from a teacher and/or guidance counsellor. ☐ IELTS or TOEFL certificate, in the case of applicants whose first language is not English. Note: Certified copies of documents may be obtained by bringing the original document and a photocopy of the document to your University/College, Local Police Station, Solicitor, Courthouse, or Commissioner of Oaths, and having the photocopy certified and officially stamped as a true copy of the original. Non-certified photocopied copies of transcripts are not acceptable and applications containing photocopied documents will not be reviewed. Please note also that application documents will not be returned. Please Return the application by post to the address below: Undergraduate Applications International Affairs Office National University of Ireland, Galway 7 Distillery Road Galway Ireland Decisions are made on a rolling basis throughout the year. Applicants can generally expect a decision within 4-6 weeks of receipt of a complete application. Where exam and/or test results are pending, students should indicate when results will be sent to the University or have their school provide predicated grades where possible. In such cases, the University may issue a conditional offer subject to the applicant achieving specific results in forthcoming tests or examinations. Further application queries can be addressed by e-mail to international@nuigalway.ie www.nuigalway.ie/international-students