Intro to Ag | Agri Aware & LOETB Transition Year Programme

Intro to Ag Registration Form

Fill out the below information to register
Consent: By signing here, you are confirming that you have received parent/ guardian consent for each student to provide personal details (including PPSN) upon registration.*

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Your Name*

First NameLast Name
School Name*
School Roll Number*
County*
Address*

Address Line 1

Address Line 2

Address Line 3Eircode

County
Your Email*

Confirmation Emailexample@example.com
Your Contact Number*
Please enter a valid phone number.
Number of Students Participating*
Which language coursework will you be using to complete the programme?*

EnglishIrish
What subjects do you teach?

Ag ScienceBiologyGeographyHome EconomicsOther
Have you taken part in an Agri Aware Programme in the past?*

YesNo
Please let us know if you would like to hear from Agri Aware regarding other programmes and events.*

YesNo
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Intro to Ag Registration Form