Supplementary UCD Form

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University College Dublin
National University of Ireland, Dublin
Veterinary Medicine
Graduate-Entry (MVB)
UCD Supplementary Application Form 2016/2017
Deadline for Applications to the CAO
– 1st February 2016
1 Signed Copy of this Supplementary Application form
+ all relevant supplementary information
must be submitted to the CAO by 1 February.
Graduate Entry programme
UCD Supplementary Application Form
CAO Number:
Previous UCD Student Number:
(If applicable)
Name:
Date of birth:
Nationality:
Address:
Telephone:
E-mail:
Please tick the appropriate box
I do hold a Hold an honours degree (NQAI Level 8) in a Biological/Biomedical/Animal Science discipline
at the level of a 2.2 Honours and therefore wish to be considered for the 4 year Undergraduate programme.
Please go to www.cao.ie and select DN301
I do not hold a Hold an honours degree (NQAI Level 8) in a Biological/Biomedical/Animal Science
discipline at the level of a 2.2 Honours and therefore wish to be considered for the 5 year Undergraduate
programme.
Please go to www.cao.ie and select DN300
Criteria
1. Academic Achievement
Please list the type of degree (e.g. BSc, Masters, PhD) and give the grade for your Bachelor’s degree (e.g.
1H, 2H.1, 2H.2). Also describe the subject(s) in which each qualification was obtained; the name(s) of the
awarding institution; and the year(s) when it was obtained (please include original transcripts of all degrees
listed).
Degree Type
Subject
Institute
Year
Please state the name(s) and contact details of your Masters degree/PhD supervisor(s). Submission of this
application to UCD implies permission to contact these supervisor(s).
Name of Supervisor
Contact details
Degree Supervised
Name of Supervisor (2)
Contact details
Degree Supervised
2. Training within the Biological Sciences area
Please tick one
Leaving certificate/A-levels with 1 science subject*
Leaving certificate/A-levels with 2 science subjects*
Leaving certificate/A-levels with 3 science subjects*



Please tick
Honours Primary degree in a biological or physical sciences subject
Masters degree in a biological or physical sciences subject
PhD in biological science subject
*Science subjects in this context refer to physics, chemistry and biology



3. Veterinary Experience
List below the names and addresses of veterinary or other related establishments (practices/laboratories etc)
where you have obtained experience of veterinary work. Please note that these contacts will not be
approached in all cases, but your application to UCD will be taken to imply permission for us to approach
them in order to verify your attendance. Types of experience include farm animal, small animal, equine,
industrial/laboratory, zoo animal/ exotic, wildlife, stables, kennels, etc.
Name of the veterinary establishment, and the name,
address, and telephone number, of the veterinary
surgeon with whom you had most contact
Type(s) of
Experience
Number of
Days
Attended,
with Dates
4. Extramural Achievements
Please list any involvement in community activities, evidence of leadership skills, hobbies etc.
5. Academic Publications, Scientific Presentations, Prizes, Awards and/or other relevant academic details
6. Additional Information
In view of the assessment criteria (next page), please use the space below to add any details that you believe
are appropriate to your application. Please do not exceed the space provided.
I certify that all the above details are complete and correct.
Signed: __________________________________________ Date:
_______________
Note:
The onus is on the applicant to supply requested supporting documentation and to apply via www.cao.ie by
the 1 February deadline.
Late applications will not be considered.
An interview may be required to facilitate a final decision.
Deferral of an Offer is not possible.
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