1 - 5 July 2024

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* 1. Is the funding for your participation secured?

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* 2. Last name(s)

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* 3. First name(s)

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* 4. Name you wish to be called

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* 5. e-mail address

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* 6. Profession

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* 7. Name of school / institution / organization

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* 8. Please state here the invoicing address = the address which will appear on the invoice. Add any details or references e.g. Erasmus+  project title + number required by your administration.

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* 9. Are you interested in accommodation at Dunlin Village on the NUIG campus? The student apartments have 4 or 6 rooms, each room with private bathroom and common kitchen and lounge area.  Apartments will be shared with other participants on the course.  Estimated single room rate is 65€ per night, room only.  
For more information, please see 
https://www.campusaccommodation.ie/students/dunlin-village/ 

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* 10. Are you interested in taking part in a half-day field trip to the Cliffs of Moher? Estimated costs for transport and entrance fee: 40€ per person.
https://www.cliffsofmoher.ie/

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* 11. Subject(s) / discipline(s) taught

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* 12. Age of students

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* 13. Experience in CLIL

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* 14. Please state 1 - 3 things that you wish to gain from this course

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* 15. If you have any special requirements (i.e. diet, allergy..), please specify them here.

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* 16. Any additional information you may wish to give, or questions you wish to pose to the course team.

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