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APPLICATION FORM

*Participants must be at least 18 years old by the first day of the Institute.

N.B. Use the “Tab” key instead of the “Enter” key in order to go from one line to the next. Hitting the “Enter” key may submit the application prior to when you are intending to do so.

 

    Application Type (required)

    General Information

    First Name (required)

    Middle Name

    Last Name (required)

    Nickname you go by:

    Gender (required)

    Student Email (required)

    Student Cell Phone (required)

    Street Address (required)

    Street Address Line 2

    City (required)

    State (if from US) or County (if from Ireland) (required)

    ZIP Code (required)

    Home Telephone (required)

    Date of Birth (required)

    How did you hear about the institute?

    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.

    Statement describing yourself (minimum 200 words) (required)

    Education

    Current School you attend full-time (required)

    High School City, State/County (required)

    Level of Education

    Applicant is in good standing with current institution, meaning the participant is under no adverse disciplinary or probationary status. (required)

    YesNo

    (If no, please explain in the questions/comments box below.)

    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 June 1, 2023.

    Questions/Comments

    I certify that this information is true and complete to the best of my knowledge. Falsification of information on this application could jeopardize acceptance and enrollment.

    Signature (required)

    Date (required)