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  • Application form- PLC Courses 2014/2015

  • Date of Birth*
     - -

  • Required by the Dept. of Education & Science

  • Location on 30th September 2013

    Tick all the appropriate boxes

  • Attending Secondary School*
  • Employed:
  • Unemployed:
  • Completed Leaving Cert. this year*
  • Training (FAS, Apprenticeship etc)*
  • Not in labour market*

  • Highest Educational Achievement

    Tick all the appropriate boxes  

  • Leaving Certificate
  • FETAC
  • HETAC - Level 6 - 10*
  • Inter/ Junior Only*
  • National Foundation Certificate*
  • No Prior Qualification*

  • Health

  • Tick all the appropriate boxes

  • Any known allergies*
  • Heart Condition*
  • Asthma*
  • Diabetes*
  • Any other Health Condition which we should be aware of?*
  • Have you ever had a Psychological Assessment?*

  • If yes please provide a copy to the School Address.

  • Have you had Special Accommodations during State Exams?*

  • Other

  • Where did you hear about the course

  • I declare that the information given in this application form is true and accurate and that if I am admitted as a student I will meet all the course requirements and abide by the rules of the school.   I am aware that Co. Kildare V.E.C. and St. Conleth’s Community College reserve the right to make changes to any course, to limit the number of places available or to withdraw a particular course.

  • A €50 Application Fee* is required in order to process your application to interview stage. Please send the required administration fee to:

    St. Conleth’s Community College, Station Road, Newbridge, Co.Kildare.   

    Telephone: (045) 431417 email:stconlethscc@eircom.net  

  • Please Note: The fee is refunded only if you are not offered a place by the college; it is not refunded if you withdraw your application, do not attend a scheduled interview or decline a place on a course.      

    All charges must be paid in full before students take a place on a course.                                            

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