FORM AE1
ADVANCED ENTRY APPLICATION FORM
(Form to be used by applicants seeking admission to 2nd or subsequent years of full-time courses).Please return the form to the Admissions Office, Institute of Technology Blanchardstown, Blanchardstown Road North, Blanchardstown, Dublin 15 before1st Junefor courses
commencing in September. /
PERSONAL DETAILS
SURNAME: ………………………………………………………………………………………………...FIRST NAME(S): …………………………………………………………………………………………..
HOME ADDRESS:(all Institute correspondence will go to this address)………..……………………..……...
………………………………………………………………………………………………………………..
……………………………………………………………… TEL. NO: ……………………………………
E-MAIL ADDRESS: ………………………………………………………………………………………..
DATE OF BIRTH: ____/_____/______PPS NUMBER: ……………………………………
NATIONALITY: ………………………………… COUNTRYOF BIRTH: ……………………………
GENDER: MALE: FEMALE:
TERM ADDRESS: (if different from above) ………………………………………………………………
……………………………………………………………………………………………………………….
…………………………………………………………… MOBILE NO: ………………………………..
If you have applied through CAO for entry to 1st year of any course(s) please enter your CAO application number here.
COURSES
Please enter the full-time course(s) and year to which you are seeking admission(see list of courses on page 4)TITLE OF COURSE(S) / COURSE CODE(S) / YEAR
PLC OR THIRD LEVEL EDUCATION
(a)Course(s) attended
Please enter details of the course(s) you are attending/have attended in any third level college.
COLLEGE(S) / COURSE(S) / DATES
FROM: / TO:
(b) Examinations taken/to be taken (Please add additional page if necessary).
EXAMINING BODY / MODULE TAKEN / CREDITS / RESULTS
(SPECIFY GRADES) / YEAR / LEVEL
- Applicants must complete Section (b). If you expect to take examinations in the current year you should write "Pending" under results.
- Full certified transcripts of examinations already passed/qualifications achieved should be attached to this application form.
- Applicants who have obtained a qualification outside the Republic of Ireland or the UK, are requested to obtain a letter from Qualifications Recognition () 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 (
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 least3 months before the start of the course.Qualification
Recognition can be contacted on 01 8871500 or
- Students on courses marked below with an asterisk must obtain satisfactory Garda Clearance from the Central Garda Vetting Unit prior to going on placement. Please note that this procedure takes several months and should be initiated immediately by completing form 4FAD22 and returning it to the Admission’s Office in ITB.Complete registration will be contingent on proof of satisfactory Garda vetting.
- If you have not yet obtained your examination results you should forward to the Admissions Office of the Institute of Technology Blanchardstown a detailed transcript as soon as the results become available. Failure to forward such a transcript will prevent your application being processed.
REASONS FOR ADVANCED ENTRY APPLICATION
HEALTH, DISABILITY AND LEARNING DIFFICULTY
If you consider yourself to have a disability, significant health problem or learning difficulty, please give details and attach medical documentation.
______
______
______
REFEREE (for applicants currently attending a third level institution)
Please give the name of a Lecturer/Head of School in the college in which you are currently a student, who would be willing to provide a reference in support of your application.
Name: ______
Address: ______
Telephone: ______
Email: ______
DECLARATION
I declare that the information given by me in this application is true and accurate and that if I am admitted as a student I will abide by the regulations of the Institute of Technology Blanchardstown.
Signed: ______Date: ______
SUBMISSION OF APPLICATIONS
- Please complete this form legibly and in ink, using CAPITAL LETTERS.
- Further particulars regarding the application may be appended to this form.
- Ensure that the completed form arrives in the Admissions Office, Institute of Technology Blanchardstown, Blanchardstown Road North, Blanchardstown, Dublin 15, not later than 1stJune.Acknowledgement of receipt will be issued within 4 weeks of receipt of application. If the acknowledgement does not arrive within that time, please contact the Admissions Office
- Applicants for courses may be required to attend suitability tests or interviews.
COURSES ON WHICH ADVANCED ENTRY PLACES MAY BE AVAILABLE
SCHOOL OF INFORMATICS AND ENGINEERING
Course Code / Title / Year
BN001 / Higher Certificate in Engineering in Electronics and Computer Engineering / Year 2
BN002 / Higher Certificate in Science in Computing in Information Technology / Year 2
BN009 / Bachelor of Engineering in Mechatronics / Year 2
BN009 / Bachelor of Engineering in Mechatronics / Year 3
BN021 / Bachelor of Arts in Creative Digital Media / Year 2
BN021 / Bachelor of Arts in Creative Digital Media / Year 3
BN022 / Bachelor of Science in Horticulture / Year 2
BN022 / Bachelor of Science in Horticulture / Year 3
BN039 / Bachelor of Science in Sustainable Electrical & Control Technology / Year 3
SCHOOL OF BUSINESS AND HUMANITIES
Course Code / Title / Year
BN003 / Higher Certificate in Business / Year 2
BN010 / Bachelor of Business in Information Technology / Year 2
BN010 / Bachelor of Business in Information Technology / Year 3
BN011 / Bachelor of Arts in Applied Social Studies in Social Care * / Year 2
BN011 / Bachelor of Arts in Applied Social Studies in Social Care * / Year 3
BN017 / Bachelor of Business in International Business / Year 2
BN017 / Bachelor of Business in International Business / Year 3
BN020 / Bachelor of Arts in Sports Management and Coaching * / Year 2
BN020 / Bachelor of Arts in Sports Management and Coaching * / Year 3
BN025 / Bachelor of Arts in Social and Community Development * / Year 2
BN025 / Bachelor of Arts in Social and Community Development * / Year 3
BN030 / Bachelor of Arts in Early Childhood Care & Education * / Year 2
BN030 / Bachelor of Arts in Early Childhood Care & Education * / Year 3
* Garda Vetting required - see note iv above
Further progression options are available to students through the Add-on application system. Please see Add-on application guidelines.
CONTACT INFORMATION
Admissions Office Phone (01) 885 1000Institute of Technology Blanchardstown Fax (01) 885 1001
Blanchardstown Road North Email
Blanchardstown, Dublin 15 Website
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