National University of Ireland Galway (NUIG), Ireland

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* 1. Which course are you planning to attend?

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* 2. Is the funding for your participation secured?

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* 3. First name(s)

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* 4. Last name(s)

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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. project number and name if required by your administration.

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* 9. Do you wish to avail of the accommodation option provided by the organizer?
We offer accommodation at the modern Goldcrest Village on the NUIG campus area.

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

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* 11. Age of students

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* 12. Experience in CLIL

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

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

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

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