30 June - 4 July 2025

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1. Is the funding for your participation secured?

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2. Last name(s)

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3. First name(s)

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4. Name you wish to be called

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5. e-mail address

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6. Profession

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7. Name of school / institution / organisation

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8. Please state here the invoicing address = the address which will appear on the invoice. Add any details or references e.g. project title + number required by your administration.

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9. Are you interested in student flat accommodation at Dunlin Village on the University of Galway campus?
The rate for a single room (with private bathroom) in a 6-room flat is 65€ per night. Only other course participants, no outsiders, will share the flat. Pls see more https://www.campusaccommodation.ie/students/dunlin-village/

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10. Are you interested in joining a half-day study trip (e.g. to the Cliffs of Moher)? Additional costs for transport and entrance fee at c.55€.

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11. Subject(s) / discipline(s) taught

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12. Age of students

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13. Teaching experience

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14. Experience in CLIL

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15. Please state 1 - 3 things that you wish to gain from this course

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16. If you have any special requirements (i.e. diet, allergy..), please specify them here.

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17. Any additional information you may wish to give, or questions you wish to pose to the course team.

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