29 June - 3 July 2026

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* 1. Funding for participation

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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 / organisation

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* 8. Invoicing address:
Please give here the name and address to which the invoice must be drawn. Also provide all information that is required for the financial reporting and/or in your course attendance certificate (e.g. the Erasmus+ project title and number, your social security number etc.).
The invoices will be sent out 5-6 weeks prior to the course start.

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* 9. Are you interested in student flat accommodation at Dunlin Village on the University of Galway campus?
The rate for a single room (with private bathroom) in a 6-room flat is c. 80€ per night. Only other course participants, no outsiders, will share the flat. Pls see more https://www.campusaccommodation.ie/students/dunlin-village/

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* 10. Are you interested in participating in a field study / trip to Coole Park (https://www.coolepark.ie/) and Thoor Ballylee (Yeat's Tower - https://yeatsthoorballylee.org/)? This is part of the course programme with an assignment, and likely to take place on Wednesday afternoon. The estimated transportation costs are 25€ per person. For those not participating, an alternative assignment will be set.

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* 11. Would you like to join a trip to the Cliffs of Moher after the course ends on Friday? This will be organised if there is demand. The estimated costs are 50€ per person (coach and entrance fee).

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* 12. Subject(s) you teach:
(If not applicable, please add N.A. You can also provide details if you wish)

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* 13. Age of students (you teach).

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* 14. Experience in teaching

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* 15. Experience in CLIL

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

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

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* 18. Additional information you wish to give or questions that you wish to pose to the organisers.

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