Information required for registration

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.

Name:

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* 1. Name:

School:

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* 2. School:

What year are you taking the Leaving Certificate examination? (class only open to those going in to 5th year in September)

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* 3. What year are you taking the Leaving Certificate examination? (class only open to those going in to 5th year in September)

Date of Birth:

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* 4. Date of Birth:

Email address:

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* 5. Email address:

Telephone number:

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* 6. Telephone number:

Name of parent/guardian

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* 7. Name of parent/guardian

Contact telephone number for Parent/Guardian

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* 8. Contact telephone number for Parent/Guardian

Contact email address for Parent/Guardian

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* 9. Contact email address for Parent/Guardian

Country of Origin:

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* 10. Country of Origin:

Language/s spoken at home:

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* 11. Language/s spoken at home:

Other languages spoken:

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* 12. Other languages spoken:

Reason/s for wanting to take a Leaving Cert class in Japanese:

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* 13. Reason/s for wanting to take a Leaving Cert class in Japanese:

Where did you hear about this class?

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* 14. Where did you hear about this class?

We would like to ensure that students who begin this course are committed and intend to keep it up until the end - can you provide some reasons that you think you will be able to manage an extra subject (many do but we'd like to know that you have the potential to be one of them!).  The course is ideally suited to students who are academically capable of taking on an extra subject, are well organised and self-motivated, and have the time to do Japanese homework and study in addition to their other studies.

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* 15. We would like to ensure that students who begin this course are committed and intend to keep it up until the end - can you provide some reasons that you think you will be able to manage an extra subject (many do but we'd like to know that you have the potential to be one of them!).  The course is ideally suited to students who are academically capable of taking on an extra subject, are well organised and self-motivated, and have the time to do Japanese homework and study in addition to their other studies.

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 these classes are fee of charge.  Once you have been offered a place, please send a cheque for 50 euro to Post-Primary Languages Initiative, MIE, Griffith Avenue, Dublin 9, to cover the cost of the textbooks and photocopying for the two year course.
(ii) Please like our Facebook page for updates www.facebook.com/LanguagesInitiative
(iii) Please also check out our website at www.languagesinitiative.ie for loads of useful Japanese resources.

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