Institute of Technology Blanchardstown ADD-ON HONOURS BACHELOR DEGREE (NQAI LEVEL 8) COURSES APPLICATION FORM FOR EXTERNAL APPLICANTS (i.e. not currently registered ITB Students) This form is to be used by external applicants seeking admission to Full-Time Add-On Honours Degree (NQAI Level 8) courses only. Completion of an application form should not be viewed as the basis of a contract between applicants and the Institute. The Institute reserves the right to amend courses, fees and regulations at any time. If you have ever been registered as a student in ITB, please quote your student ID Number: If you have ever been a student in any other 3rd level Institute, please quote your student ID Number: Institute Name: ______________________ 1. PERSONAL DETAILS (BLOCK CAPITAL LETTERS) SURNAME ................................................................................................................................................................... OTHER NAME (S) ...................................................................................................................................................... (The names given above will appear on all Institute documentation, including parchments etc) TEL. No. (Home) ...................................…..…. (Work) .....…................................................................................ MOBILE No. .................................................... E-MAIL ........................................................................................ PERSONAL PUBLIC SERVICE (PPS) NUMBER (formerly RSI No) ..................................................................... HOME ADDRESS (All Institute correspondence will be posted to this address)................................................................. ......................................................................................................................................................................................... TERM ADDRESS ............................................................................................................................... Male Date of Birth Country of Birth Nationality Female 2. PLEASE INDICATE THE HONOURS DEGREE COURSE FOR WHICH APPLICATION IS BEING MADE Bachelor of Engineering (Honours) in Computer Engineering BN401 Bachelor of Science (Honours) in Computing BN402 Bachelor of Business (Honours) BN403 Bachelor of Arts (Honours) in Business with French/German/Spanish BN404 Bachelor of Business (Honours) in Information Technology BN405 Bachelor of Engineering (Honours) in Mechatronics BN407 Bachelor of Arts (Honours) in Applied Social Studies in Social Care BN409 Bachelor of Science (Honours) in Entrepreneurship in Engineering (specialist course) BN417 Bachelor of Science (Honours) in Entrepreneurship in Horticulture (specialist course) BN419 Bachelor of Science (Honours) in Entrepreneurship in Information Technology (specialist course) BN421 1 Institute of Technology Blanchardstown ADD-ON HONOURS BACHELOR DEGREE (NQAI LEVEL 8) COURSES APPLICATION FORM FOR EXTERNAL APPLICANTS (i.e. not currently registered ITB Students) 3. THIRD LEVEL EDUCATION (a) Course(s) Attended. You must enter all third level education that you are attending/have attended (e.g. Institute of Technology, University, Private College or other Third Level College) PLEASE START WITH THE MOST RECENT INSTITUTION ATTENDED Names & Address of College/Institute From To 1 2 3 4 (b) Examinations taken/to be taken External students applying should ensure to submit a copy of your examination results with your application or as soon as they become available if undertaking exams during the current year. No decision will be made by the Admissions Committee until these results are sent in by you. Examining Body e.g. HETAC, BTEC, NUI Course Title e.g. Ordinary Bachelor Degree in ... Grade Point Average. or overall Percentage Mark Achieved Year Achieved (c) Please list subjects taken in Award Year 4. BASIS FOR APPLICATION Application on the basis of an award at pass level or above in a relevant Ordinary Bachelor Degree (NQAI Level 7) Course (current students of Ordinary Bachelor Degree programmes should tick this box) Application on the basis of holding an equivalent qualification to a pass level or above in a relevant Ordinary Bachelor Degree Course. 2 Institute of Technology Blanchardstown ADD-ON HONOURS BACHELOR DEGREE (NQAI LEVEL 8) COURSES APPLICATION FORM FOR EXTERNAL APPLICANTS (i.e. not currently registered ITB Students) 5. HEALTH, DISABILITY AND LEARNING DIFFICULTY Provision of the information in this section is requested only to enable the Institute of Technology Blanchardstown to accommodate reasonable needs, and will not prejudice your application. Please state any condition of health, disability and/or learning disability that could have a bearing on your studies. ____ ____ If necessary, please indicate any facility that you may require to ensure ease of progression through the programme. ____ ____ ____ 6. DECLARATION I declare that the information given by me in this application is true, complete and accurate and that if I am admitted as a student I will inform myself of, and abide by the Regulations of the Institute of Technology Blanchardstown. (Copy available on request) Signed Date ____ THIS FORM, FULLY COMPLETED, SHOULD BE RETURNED TO Admissions Office Institute of Technology Blanchardstown Blanchardstown Road North Dublin 15 CLOSING DATE 5.00 p.m. on 1st June for all courses Courses will only commence if sufficient numbers of qualified applicants apply 3 Institute of Technology Blanchardstown ADD-ON HONOURS BACHELOR DEGREE (NQAI LEVEL 8) COURSES APPLICATION FORM FOR EXTERNAL APPLICANTS (i.e. not currently registered ITB Students) IMPORTANT: Please note: BN417, BN419 and BN421 are specialist courses that might be of interest to some level 7 graduates who have a particular interest in entrepreneurship Any student whose nationality is outside the EU may be required to pay tuition fees for attending full-time academic programmes at the Institute. The tuition fee for the academic year 2009/2010 (full-time courses) is €9886.00 per annum, in addition to an annual student services fee. Applicants who have obtained a qualification outside the Republic of Ireland or the UK, are requested to obtain a letter from Qualifications Recognition (www.qualrec.ie) comparing their foreign qualification with an Irish qualification. Qualifications Recognition is the Irish centre that provides an information service that helps individuals compare their foreign qualifications with Irish qualifications on the Irish National Framework of Qualifications (www.nfq.ie). ITB regards this information as extremely important to verify the level of your award and enable the Institute to speedily make a determination on your eligibility for the course you have applied. The qualification recognition service is free of charge, however assessment of a qualification may take a few weeks so it is advisable to apply at least 3 months before the start of the course. Qualification Recognition can be contacted on 01 8871500 or www.qualrec.ie 4