Please complete this form if you wish to enroll on:

Accredited DCU (undergraduate) modules as part of the Age Friendly University initiative. Application is made by:

  • Contacting Christine O’Kelly on (01) 7008933 to discuss module options
  • Completing the attached form, clearly indicating the required module and mode of attendance
  • Attaching a passport photo for your student ID card
  • Providing proof of identity – current valid photo ID
  • Paying the appropriate fee to the Registry Office by credit / debit card or by bank draft/cheque/postal order (made payable to Registry)
  • Submitting the form to the Admissions Office in Registry, Henry Grattan Building, Glasnevin Campus, Dublin City University, Dublin 9,before the commencement of Semester 1 lectures on 19th September.

Module and Mode of Attendance

  1. Full Participation €500

Module CodeModule TitleSemesterAttendance Type

  1. Audit (Attendance only) €250

Module CodeModule TitleSemesterAttendance Type

Data Protection Notice

Personal information that you submit to Registry in connection with any service provision will be treated in accordance with the DCU Data Protection Policy which can be viewed at the following website address:

The University shall only process such information in line with the purpose for which you provide it and to the extent necessary to provide you with the information or service you require.
The personal data may be disclosed to staff and agents of the University in order to support services to you. In addition, personal data may be disclosed to government departments, statutory bodies and funding agencies where this is required under legislation or for the provision of services.
In order to ensure our records are correct we urge you to answer all relevant questions accurately. If your personal details should change please let us know so that we can update our records.

APPLICANT DETAILS

PLEASE COMPLETE IN BLOCK CAPITALS

First Name: ______Surname: ______

Addressin Ireland: ______

______

Telephone Number: ______Nationality:______

Email Address: ______Date of Birth: ______

Mobile Number:______Country of Birth: ______

Home Address if different from above: ______

______

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Next of kin details (to be contacted in case of emergency):

First Name: ______Surname: ______

Address: ______

______

Telephone Number: ______

Applicant Declaration:

I certify that the information given in this application is correct and I hereby undertake, if admitted as a student member of Dublin City University, to observe and comply with all the regulations of the University.

Signature of Applicant: ______Date: ______

To be completed by Registry Office:

Identification Checked

Student Number: ______

Name of Student: ______

Date Registered: ______

Card posted: ______

To be completed by Registry Office: Registry Stamp:

Fee Paid by Applicant: Yes: No:

Cheque / postal order / bank draft

Credit / Debit Card

Auth Code: ______

Signature: ______

January2017

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LIST OF AVAILABLE MODULES

SCHOOL / CODE / MODULE TITLE / YEAR / CREDITS / SEMESTER / CA:
EXAM
BUSINESS SCHOOL
Business School / HR101 / Psychology in Organisations / 1 / 5 / 1 / 30:70
Business School / HR201 / Introduction to Human Resource Management / 2 / 5 / 1 / 25:75
Business School / MG101 / Introduction to Marketing / 1 / 5 / 1,2 / 40:60
FACULTY OF HUMANITIES AND SOCIAL SCIENCES
Communications / CM107 / Social and Economic Studies / 1 / 10 / 1 / 100:0
Communications / CM137 / History & Structure of the Media / 1 / 5 / 1 / 10:90
Communications / CM151 / Introduction to Communication Studies / 1 / 10 / 1 / 40:60
Education Studies / ES125 / Social & Personal Development with Communication Skills / 1 / 5 / 1 / 100:0
Education Studies / ES126 / Human Development – Power and Politics / 1 / 5 / 1 / 0:100
SALIS / LC109 / Identity and Belonging / 1 / 10 / 1 / 100:0
LawGov / LG108 / The Irish Political System / 1 / 5 / 1 / 100:0
LawGov / LG116 / Introduction to Politics / 1 / 5 / 1 / 0:100
LawGov / LG117 / Introduction to International Relations & Security / 1 / 5 / 1 / 100:0
LawGov / LG131 / The Irish Legal System / 1 / 5 / 1 / 30:70
LawGov / LG101 / Introduction to Law / 1 / 5 / 1,2 / 30:70
FACULTY OF SCIENCE AND HEALTH
Biotech / BE101 / How Life Works / 1 / 5 / 1 / 20:80
Nursing / NS133 / Understanding the Body / 1 / 5 / 1 / 20:80
Nursing / NS134 / Perspectives on Health / 1 / 5 / 1 / 50:50
Nursing / NS137 / Scarcity & Health / 1 / 5 / 1 / 50:50
Nursing / NS140 / Food & Nutrition in Health / 1 / 5 / 1 / 100:0
Nursing / NS230 / Technology and the Person / 2 / 5 / 1 / 100:0
Nursing / NS232 / Campaigning for Health / 2 / 5 / 1 / 100:0
Nursing / NS280 / Society, Health & Illness / 2 / 5 / 1 / 0:100
Nursing / SS102 / Health & Fitness 1: Theory & Practice / 1 / 7.5 / 1 / 100:0
Nursing / SS201 / Sports Skills and Techniques 3: Exercise prescription and practice / 2 / 5 / 1 / 100:0
Nursing / SS306 / Principles of Health Promotion / 3 / 5 / 1 / 40:60

January2017

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