Information required for registration

This class is open to 5th year students ONLY i.e. students who will sit the Leaving Cert exam in 2023. We would really appreciate you taking 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. You must complete all questions.  

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* 1. Name:

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* 2. School:

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* 3. Date of Birth:

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* 4. Please confirm that you will sit the Leaving Certificate Examination in 2023

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

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* 6. Telephone number:

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* 7. Name of Parent/Guardian

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* 8. Contact telephone number for Parent/Guardian

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* 9. Contact e-mail address for Parent/Guardian

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* 10. Country of Origin:

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* 11. Language(s) spoken at home:

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* 12. Reason(s) for wanting to take a Leaving Cert class in Russian:

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* 13. Where did you hear about this class?

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* 14. Thank you for your application. We will e-mail you mid-August to confirm a place on the course and to give full details of the start date and venue. These classes are FREE of charge. Follow us for updates on Facebook, Instagram or Twitter or check out www.languagesconnect.ie

PPLI Privacy Policy is communicated by PPLI Privacy Notice which informs you of PPLI data protection practices and your individual privacy rights.

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

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