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.