Study abroad application | American College Dublin

Programme of Interest

Term of study: *

Academic year of study: *

Personal Information

First name: *

Last name: *

Home telephone no.:

Mobile telephone no.:

Email: *

Date of birth: *

In format DD/MM/YYYY e.g. 23/12/1990

Country of citizenship: *

Gender: *

Home Address

Address 1: *

Address 2:

City: *

State:

Country: *

Postcode/Zip:

Send information to: *

Present address (if different)

Address 2:

Address 1:

City:

State:

Country:

Postcode/Zip:

Parent or Guardian Information

Parent/Guardian: *

Mother's Name:

Mother's Email:

Mother's Home Address:

Mother's Home Telephone:

Father's Name:

Father's Email:

Father's Home Address:

Father's Home Telephone:

Guardian's Name:

Guardian's Email:

Guardian's Home Address:

Guardian's Home Telephone:

Educational Information

College/University

Name of College/University: *

Location: *

Dates: *

e.g. 2000 to 2002

Diploma/Degree: *

Major: *

Add Another College/University

Name of College/University:

Location:

Dates:

e.g. 2000 to 2002

Diploma/Degree:

Major:

Add Another College/University

Name of College/University:

Location:

Dates:

e.g. 2000 to 2002

Diploma/Degree:

Major:

Language proficiency

English: *

How did you hear of the IAU Study Abroad Program?

Via: *

Details: *

I certify that the information in this application for entrance into IAU's Study Abroad Program is true to the best of my knowledge, and I understand that any untruthful statement would make me subject to dismissal from the Study Abroad Program. Further, I agree to abide by the rules and regulations as set forth by the IAU. I understand the awarding of transfer credits for specific courses is at the discretion of the credit accepting institution. I understand if I desire to enrol in one of IAU’s degree programs as a matriculated degree seeking candidate, I am required to submit a separate IAU application for admission along with the required school records, test scores, recommendations, and other necessary information in order to be considered for admission.

Confirmation: *

I have read and agree to the above stipulations.