Information required for registration

This class is open to 5th year students ONLY  i.e. those doing their Leaving Cert exams in 2023 and registration will only be considered up until the October mid-term break. 

We 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.
Classes will be held in a Dublin city-centre location. The venue will be confirmed in August.

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* 1. Full Name (First Name and Surname)

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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 email 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. Please describe your general level of Russian - speaking, reading and writing

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

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* 14. Where did you hear about this class?

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.  Please note that these classes are FREE of charge.

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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