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Applications are now open for programmes commencing in September 2019.
* Indicates a mandatory field which must be completed
Please select which Lifelong Learning Centre you would like to apply to *:
Programme Title *
Year of Entry *
Please Note: The name you enter will appear on any parchment to which you may be entitled to.
First Name(s) *
Address Line 1 *
Address Line 2
Address Line 3
PPS Number *
Please note: In this instance it is necessary to identify gender of the individual as, in registering a student on application, the software used by the Institute only activates the student registration when the gender of the applicant is identified in the system and verified by the applicant upon activation of the student card.
Date of birth *
Country of Birth
Is English/Irish your first Language?
Mobile Number *
Have you previously been a student in IT Carlow?
If yes please state:
Year you finished Programme
Name of next of Kin *
Telephone number of next of Kin *
The following information requested is for admission and statistical purposes only and will be treated in the strictest confidence.
Indicate the last Educational Institution attended
Irish Institute of Technology
Post Leaving Cert College
If Other, Please Specify
Indicate the Highest Qualification Achieved
Proof of qualifications needs to be enclosed when returning application form to the Faculty of Lifelong Learning. If you are under 23 years of age, you will need to provide a copy of the Leaving Certificate or Full Level 5 qualification obtained.
Click here to attach file
Please indicate if you have attached a copy of your qualifications
Do you have a Disability/Specific Learning Difficulty?
Please Note: This information is required to ascertain what supports that you may require to facilitate you as a student.
Please Note: Fees must be paid before commencement of programme. Once your application has been processed you will be contacted by Lifelong Learning with regards to making a payment.
If an organisation is paying part or all fees a letter on headed paper from that organisation must be attached to this application form indicating the amount of funding they will provide.
Click here to attach file
Please indicate if you have attached this letter
Please Note: Programmes run subject to sufficient numbers. The types of programme offered are Major Awards leading to Degree, Masters, Diploma, Higher Certs (Certs of 60 Credits). Minor Awards are awards of between 10-50 Credits. If a programme does not run, whether Major or Minor, a full refund is offered.
Applicant Confirmation of Identity
Once successful in your application, you will be contacted by the Faculty of Lifelong Learning to confirm dates for registering. Please note that during registration photographic identification is required, for example, Passport / Driving Licence / Public Services Card.
Additionally, a copy of your Birth Certificate and Marriage Certificate (where applicable), to confirm the official name to appear on your student card and subsequent parchment on completion of your studies.
I declare that the information given by me in this application is true and accurate and that if accepted I agree to read and abide by the regulations of Institute of Technology Carlow.
I hereby agree that the Institute may use my photograph in publications of the Institute where they judge this to be in the best interest of either myself or the Institute.
I understand that the Institute of Technology Carlow will treat all information as confidential and will not disclose such information except as permitted by Law.
Agree with Declaration? *
Leave this blank
The Institute of Technology Carlow is committed to protecting the rights and privacy of individuals with respect to the processing of their personal data. A copy of the Institute’s Privacy notice is available on the Institute’s website (https://www.itcarlow.ie/resources/data-protection.htm). This website also contains further information relating to your rights regarding subject access requests, records retention and data protection in general. Any further queries in relation to the GDPR can be addressed to the Institute’s Data Protection Oversight Group (e-mail: firstname.lastname@example.org)
T: 059 91 75000
F: 059 91 75005