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Information required for registration

This class is open to 5th year students ONLY, i.e. students who will sit their Leaving cert exam in 2024.
We really appreciate you taking the time to fill out this page which will not only help us in the administration and organisation of these classes but will also help us to understand your needs. Please note that this service is only available to students who cannot access the language within their own school curriculum. The class will go ahead if we get a good number of students and would be close to the city centre in Cork but we will let you know by the end of August. Thank you!

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* 1. First Name:

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* 2. Surname

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* 3. School:

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* 4. Please confirm that you will sit the Leaving Cert exam in 2024

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* 5. Date of Birth:

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* 6. Email address that you use on a regular basis:

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* 7. Telephone number:

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* 8. Name of parent/guardian:

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* 9. Contact telephone number for parent/guardian:

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* 10. Contact email address for parent/guardian:

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* 11. Country of Origin:

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* 12. Language/s spoken at home:

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* 13. Other languages spoken:

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* 14. Reason/s for wanting to take a Leaving Cert class in Chinese:

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* 15. Where did you hear about this class?

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* 16. We would like to ensure that students who begin this course are committed and intend to take it in the Leaving Cert exam - can you provide some reasons that you think you will be able to manage an extra subject on Saturday mornings (many do but we'd like to know that you have the potential to be one of them!).

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* 17. If there is anything we have not covered in the questions above and you think we should be aware of, could we ask you to please add here:

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* 18. I agree for the data on this form to be used for the purpose for which it is intended.

Thank you for your application.   We will email you mid-august to confirm a place on the course and to give full details of the start date and venue. Just a few more things:
(i) FYI the classes are FREE.  
(ii) Follow us for updates on Facebook, Instagram and Twitter or check out languagesconnect.ie

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