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American Student (Full Travel Package)
Irish Student (Ards Only Package)
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General Information (Please complete all fields) |
| First Name |
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| Last
Name |
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| Home Telephone |
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| Student's Email |
Please note: We use this email address to communicate news about the application/acceptance process, so please enter an email that is actually used by the student or parent. Thanks! |
| Student's cell phone # |
(if applicable) |
| Home Mailing Address |
(line one) |
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(line two or county for Irish residents) |
| City |
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| State |
(US residents only) |
| Zip |
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| Country |
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| Gender |
Male
Female |
| Age |
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| How
did you hear about this program? |
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Name of Parent
or Guardian
(if applicable) |
Statement
describing yourself (min.
200 words): |
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Please write
a statement (at least 200 words) describing yourself: hobbies, extra-curricular activities, interests, family life, sports, etc.. Also explain
what you hope to gain from the St. Columcille Institute.
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Name
of current school
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| Address |
(line one) |
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(line two) |
| City |
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| State |
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| Zip |
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| Country |
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Level of education:
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Applicant is in good standing with current institution, meaning the participant is under no
adverse disciplinary or probationary status.
Yes
No
(If no, please explain in the questions/comments box below.)
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 Your application will be reviewed upon reception. Once accepted to the Institute, you will be contacted and asked to make a deposit ($500 for American students / €300 for Irish students) to reserve your spot. Payment in full will be due May 31, 2013.
Questions/Comments:
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