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. Invoicing address = the address which will appear on the invoice. 
The course fee is 350€, including tuition and materials. In addition, an administrative fee of 70€ will be applied. Thus, the total will be 420€.
The invoices will be sent 5-6 weeks before the course starts. 

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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.
Single room rate: c. 60€/night (room only).  Additional fee of 7€ for optional breakfast.
The invoice for the accommodation will be sent at the same time as the course fee invoice.

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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 three 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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