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Bridgetown Vocational College
Coiste Oideachais Ghairme Beatha Cho Loch gCarman
College Principal
Course Co-ordinator
Fionnuala Greene
Mairéad Redmond
Please return this form to: Admissions Office, Bridgetown Vocational College, Bridgetown, Co. Wexford
Personal Details
Name:
_________________________________________
Address:
_________________________________________
_________________________________________
Home Telephone (landline): _________________________________________
Mobile Telephone:
_________________________________________
Next of Kin:
_______________ Contact No: _______________
PPS Number:
_________________________________________
Medical Card Number:
_________________________________________
Age: _____
Date of Birth: ___________________________
Last school attended
School name
_________________________________________
Address
_________________________________________
Number of years in Post-Primary Education _____________________________
Examination Record
List of subjects taken and grades achieved. If you sat your Leaving Certificate this year, tick the
subjects taken and indicate level, i.e. Higher (H), Ordinary (O), or Foundation (F)
Subject
Level
Result (if known)
No result yet
(studied this subject)
(Traditional Leaving Certificate - Year _______ )
Accountancy
[ ]
Agricultural Science
[ ]
Art
[ ]
Biology
[ ]
Business Organisation
[ ]
Chemistry
[ ]
Construction Studies
[ ]
Engineering
[ ]
English
[ ]
French
[ ]
Geography
[ ]
History
[ ]
Home Economics
[ ]
Irish
[ ]
Maths
[ ]
Materials Technology
[ ]
Music
[ ]
Physics
[ ]
Technical Graphics
[ ]
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(Leaving Certificate Applied - Year ________ )
English
[ ]
French
[ ]
German
[ ]
Hotel & Catering
[ ]
Information Technology
[ ]
Irish
[ ]
Maths
[ ]
Metalwork
[ ]
Music
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Social Education
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Vocational Prep & Guidance
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Other Post Leaving Certificate courses attended and/or other qualifications:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Bridgetown Vocational College
Bridgetown, Co Wexford
Phone:
(053) 913 52 57
Fax:
(053) 913 51 55
E-mail:
btownvc@iol.ie
Website: www.bridgetownvocationalcollege.ie
I undertake that, if accepted as a student of
Bridgetown Vocational College, I will abide by
the regulations and procedures of Co Wexford
VEC and Bridgetown Vocational College.
Signature of applicant ________________
Date
________________