Extended Campus Application Form
* Indicates a mandatory field which must be completed
Programme Details
Programme Title *
Please choose which programme you are applying for
Bachelor of Arts (Honours) in Leadership and Operational Management Bachelor of Arts in Leadership, Management and Defence Studies Bachelor of Arts in Leadership, Management and Defence Studies (Logistics) Bachelor of Business (Honours) in Aviation Management Bachelor of Business (Honours) in Emergency Services Management Bachelor of Business in Aviation Management (Level 7) Fast Track Bachelor of Business in Supply Chain Management Bachelor of Science in Flight Operations Bachelor of Science in Industrial Measurement and Control Certificate in Advanced Incident Command Management Certificate in Advanced Manufacturing for Industry 4.0 Certificate in Aircraft Acquisition and Finance Certificate in Aviation Security Instruction Certificate in Aviation Services (Cabin Crew) Certificate in Aviation Security for Screeners Certificate in Biopharmaceutical Operations Certificate in Building Control Management Certificate in Business in Technical Aircraft Management Certificate in Critical Incident Stress Management Certificate in Data Analysis for Advanced Manufacturing Certificate in Environmental and Planning Legislation Certificate in Event Controlling Certificate in Facilitation, Mentoring and Development Certificate in Fundamental Electrochemical Analysis & Weighting Systems Certificate in Fundamental Process Measurement Certificate in Fundamental PID Control Certificate in Industrial Measurement and Control Certificate in Innovative Materials for Industry 4.0 Certificate in Introduction to Fire Services Operations Certificate in Introduction to Work Measurement and Methods Engineering Certificate in Leadership and Management (Gaelic Games) Certificate in Leadership and Operational Management Certificate in Leadership for Performance and Change Certificate in Leadership, Management and Defence Studies Certificate in Leadership, Mindsets and Performance Certificate in Light Aircraft Pilot Licence Ground Studies Certificate in Manufacturing and Design Engineering Certificate in Materials Selection in Sustainable Engineering Design Certificate in Medicines Administration and Patient Support Certificate in Post Processing for Smart Industry Certificate in Road Programme Management Certificate in Science for Dispensary Assistants Certificate in Software-Defined Communication Systems Certificate in Thoroughbred Breeding Management Certificate in Traffic Management Certificate in Work Measurement and Methods Engineering Higher Certificate in Arts in Leadership, Management and Defence Studies Higher Certificate in Science in Aircraft Flight Dispatching Higher Certificate in Science in Geo Drilling Master of Engineering in Ordnance, Munitions and Explosives Engineering Master of Science in Communications Technology Management Master of Science in Military Engineering Management Postgraduate Diploma in Science in Communications Technology Management Postgraduate Diploma in Science in Military Engineering Management
Military Course Title *
Conducting Unit *
Service Number *
Personal Details
Please Note: The name you enter will appear on any parchment to which you may be entitled to.
Surname *
First Name(s) *
Address Line 1 *
Address Line 2
Address Line 3
County *
Select County
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Dublin 6W
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Eircode *
Country of Residence *
Select Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Rep Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Rep Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, Former Yugoslav Rep Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Not Applicable Oman Other Pakistan Palau Palestinian Territory, Occupie Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Vincent and The Grenadines Stateless Sth Georgia & Sth Sandwich Is Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States of America Unknown Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
PPS Number *
Gender *
Male
Female
Non Binary
Prefer not to say
Date of birth *
Day
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Month
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Year 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924
Country of Birth *
Select Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Rep Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Rep Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, Former Yugoslav Rep Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Not Applicable Oman Other Pakistan Palau Palestinian Territory, Occupie Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Vincent and The Grenadines Stateless Sth Georgia & Sth Sandwich Is Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States of America Unknown Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
Country of Citizenship *
Select Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Rep Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Rep Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, Former Yugoslav Rep Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Not Applicable Oman Other Pakistan Palau Palestinian Territory, Occupie Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Vincent and The Grenadines Stateless Sth Georgia & Sth Sandwich Is Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States of America Unknown Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
Is English/Irish your first Language? *
Yes
No
Home Telephone
Prefix
+353 1
+353 21
+353 22
+353 23
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+353 25
+353 26
+353 27
+353 28
+353 29
+353 402
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+353 99
Mobile Number *
Prefix
+353 822
+353 83
+353 84
+353 85
+353 86
+353 87
+353 88
+353 89
Work Number
Email *
Have you previously been a student in SETU Carlow previously known as IT Carlow? *
Yes
No
If yes please state:
Programme Title
Year you finished Programme
Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970
Student number
Qualification Record
The following information requested is for admission and statistical purposes only and will be treated in the strictest confidence.
Indicate the last Educational Institution attended *
Secondary School
Irish University
Irish Institute of Technology
Post Leaving Cert College
Other
If Other, Please Specify
Indicate the Highest Qualification Achieved *
Junior Certificate
Leaving Certificate
QQI/NCVA
Apprenticeship
Ordinary Degree
Honours Degree
PLC Qualification
Masters
Other
If Other, Please Specify
Proof of Qualifications
Proof of qualifications needs to be attached when returning application form.
If you are under 23 years of age, you will need to provide a copy of the Leaving Certificate or Full Level 5 qualification obtained.
Are you are attaching a copy of your qualifications? *
Yes
No
Click here to attach filemust be smaller than 2MB
Do you have a Disability/Specific Learning Difficulty? *
Yes
No
Please Note: This information is required to ascertain what supports that you may require to facilitate you as a student.
Employment/Recognition of Prior Learning (RPL) Details
Are you Employed *
Yes
No
If yes, please add employer details below
Name of Employer *
Employer Email address *
Postition Held *
Employment Start Date *
dd-mm-yyyy
RPL is a process that allows you to gain admission to a programme of study or to gain exemptions/credit from some parts of a programme.
This is based on demonstration of learning that you may have achieved through another programme of study, through work or other learning experiences.
Please contact the Extended Campus office on extendedcampus.cw@setu.ie to request an RPL application form.
Programme Fees
Please Note: Fees must be paid before commencement of programme. Once your application has been processed you will be contacted with regards to making a payment.
Please indicate if an organisation is paying part or all your fees *
Yes
No
If an organisation is paying your fees, confirmation must be provided from that organisation and if possible, attached to this application form.
The amount of funding being provided must be indicated.
Click here to attach filemust be smaller than 2MB
Please note: Programmes run subject to sufficient numbers. If a programme does not run, a full refund will be offered.
Applicant Declarations
Photograph Usage Agreement
I hereby agree that the University may use my photograph in publications of the University where they judge this to be in the best interest of either myself or the University.
Agree with Photograph Usage *
Yes
No
Applicant Declaration
I declare that the information given by me in this application is true and accurate and that if accepted I agree to read and abide by the regulations SETU Carlow.
I hereby agree that the University may use my photograph in publications of the University where they judge this to be in the best interest of either myself or the University.
I understand that South East Technological University will treat all information as confidential and will not disclose such information except as permitted by Law.
Other information provided will be held and will only be used for purposes registered under the General Data Protection Act.
If my programme is officially delivered in partnership with another organisation, I allow SETU to share my data with this partner organisation for the purpose of programme delivery only. The shared data will be used to provide students with access to relevant services and facilities at the partner organisation and will only be shared with relevant colleagues within an agreed timeframe consistent with the provision of GDPR.
Agree with Declaration? *
Yes
Leave this blank
Submit
Please click Submit once only. It may take up to 30 seconds for the submission to be processed.
South East Technological University is committed to protecting the rights and privacy of individuals with respect to the processing of their personal data. A copy of the University’s Privacy notice is available on the University’s website (/resources/data-protection.htm ). This website also contains further information relating to your rights regarding subject access requests, records retention and data protection in general. Any further queries in relation to the GDPR can be addressed to the University’s Data Protection Oversight Group (e-mail: gdpr.cw@setu.ie )