Student Application Form

Name:

Address:

Email:

Telephone Number:

Date of Birth:

Please select the course(s) you are interested in attending

QQI Level 3

Art & DesignInternet SkillsUpholsteryCommunicationsMathematicsWork ExperienceCommunity ParticipationFood & NutritionPersonal Care & Presentation

QQI Level 4

TextilesDrawingDesign StudiesSpreadsheet MethodsComputer ApplicationsCommunicationsWork ExperienceCareer PlanningHealth Related FitnessBarbering -VTCTHairdressing - City & Guilds

QQI Level 5

Word ProcessingNutritionCare SkillsCare of Older Person

One Day Courses

Manual HandlingPatient HandlingBasic First Aid

Taster Programmes

Art & DesignBasic Sewing SkillsWoodworkGardening BasicsCV Preparation/Job seekingBasic Computer SkillsHealth & LifestyleGraphic DesignUpholstery/UpcyclingIntroduction to Online Learning Zoom & Microsoft Teams

Employability Guide Programme

Employability Guide Programme

Data Protection Statement

Acknowledgement

By applying for and/or attending a CETB school/college/programme, I acknowledge that CETB may process my personal data (e.g. name, address, contact details, education), including sensitive personal data (where I opt to provide this information e.g. racial or ethnic origin) that CETB collects about me in connection with my application for and attendance on a CETB education/training programme. I acknowledge that CETB may share my personal data (including my sensitive personal data) within your organisation and also with third parties in the education sector as well as other third parties listed in Section 3 of CETB’s Data Protection Policy.

I acknowledge that I have reviewed CETB’s Privacy Statement which sets out the full details regarding the processing of my personal data. I understand that I may also address any questions, comments and requests regarding CETB’s data processing practices at dataprotection@corketb.ie

I wish to be considered for registration in CityNorth College of Adult and Further Education

I accept that this is an Application Form and not a Registration Form

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