High School Programme Enquiry 'Irish Experience'

Student details

The information provided in this form will allow us to enquire with our partner high schools and check their availability.

Once we receive a positive reply we will let you know and you can then decide whether to accept a place in this high school or not.

Your details are safe with us — read our Privacy Policy here.

Student's full name*

Date of birth*

Please use this format: dd/mm/yyyy

Nationality

What is the student's citizenship?

Address*

Current school at home*

Current Year group / Class level*

How many more years will the student go to school?*

What's the student's current grade in English?*

Excellent / Very goodGoodSatisfactoryAcceptablePoor / Very badOther

For how many years has the student been learning English?

Desired Year of Entry in Ireland*

2nd Year3rd YearTransition Year (4th Year)5th YearOther

Which Year group / class level does the student want to enter in Ireland?

Desired start date*

Start of 1st term (August/September)Start of 2nd term (January)Other

Desired duration*

Full Year1st term2nd term1st+2nd terms2nd+3rd termsMulti-YearOther

Parent / Guardian details

Person 1

Parent's full name*

Relationship to the student*

MotherFatherLegal guardianOther

Parent's email address*

We will use this email address for all official correspondence.

Parent's phone number*

Phone number for queries or in case of emergency. Please include the country code.

Do you reside at the same address as the student?

Yes, same addressNo, different address

Accommodation preferences

Preferred type of accommodation*

Host familySchool residencesMixed (Host family & School residences)Other

Accommodation preferences

Medical history & Dietary requirements

Allergies, medical condition, special medication etc.

Dietary requirement

No special dietVegetarianVeganGluten-free (celiac)Lactose-freeNut allergyOther

Does the student have any special educational needs, e.g. learning disorders like dyslexia, dysgraphia etc.

NoneYes, please specify

Documents for the student— can also be submitted later

Please upload relevant document here.

Most recent report card

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Max file size 10MB.

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Copy of ID card / passport

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Max file size 10MB.

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Further information

How did you hear about mackdonald language academy?*

Internet researchFamily / friendSchool / teacherEducational fair / workshopSocial mediaOther

Has the student ever been abroad for longer than 4 weeks?

Comments

Consent & Signatures

Processing of data*I confirm that the information provided is complete and correct and that I agree to the processing of the data for application purposes.

Signature of parent/guardian*

Please provide a signature before submitting.

Date of signature*

Signature of the student

Date of signature*

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