UFirst Application Form 2017
Please complete all sections of this application form; if questions are left blank we will be unable to assess all parts of your application which may result in your application being declined.

Applicants must be in 5th Year in school and intend to complete the Irish Leaving Certificate. You must intend on taking at least two higher level subjects, at least ordinary level maths, and have a genuine interest in finding out more about college.

If you are in Foster Care or under the care of Tusla (the Child and Family Agency) or are a member of the Traveller Community we will welcome your application even if you do not meet the criteria above.

When you submit the form, you will receive a copy of your responses at the email address you provide here:

Email address
PERSONAL DETAILS
First Name
Your first name
Last Name
Your last name
Date of Birth
MM
/
DD
/
YYYY
Gender
Address Line 1
House number/name and street
Address Line 2
Address Line 3
Email address
Please ensure this is accurate, this address will be used for all correspondence
Mobile Number
Please check this is accurate; we may need to contact you to clarify parts of your application
Parent's/Guardian's contact name
Please provide the name of a parent/guardian we can contact in the event of an emergency
Parent's/Guardian's contact telephone number
School Name
Name of secondary school you are attending
School Address
Full address of school(s) you are attending
Class/Year
Please indicate what class or year you are in at school
School half day
Please indicate which day of the week your school takes a half day. If you do not have a half day in your school, just enter n/a
Name of Guidance Counsellor/Year Head/Teacher who will be your referee
Please inform this person that DCU will contact them in relation to your application
Email address of your referee
Please provide an email address for your referee
What kind of career would you like to have later on?
It's alright to have more than one idea at this stage
What interests you about this career?
(If you have no idea of a career right now, just tell us about any interests or hobbies you have)
What is the highest level of education your parent(s) or guardian(s) have attained?
Primary School
Secondary School Junior Cert
Secondary School Leaving Cert
Further Education (FETAC) College
Institute of Technology
University
Other
Father/Guardian
Mother/Guardian
Do any of the following apply to you?
Select as many as apply to you
Required
Do you or your parent(s)/guardian(s) have a HSE Medical Card/GP Visit card
Required
Do your parent(s) or guardian(s) receive any means tested Social Welfare payments?
Leaving Certificate
Please indicate what level of study you are currently taking in the following subjects
Honours
Ordinary
Foundation
n/a
Maths
English
Irish
Please select the leaving Certificate subjects you intend taking at HIGHER LEVEL only
There is no need to include English, Irish or Maths as these are answered above
Required
Do you know what the HEAR (Higher Education Access Route) Scheme is?
Your Personal Statement
In 400 words please tell us why you would like to be a part of the UFirst programme. You may include information about yourself such as your hobbies and interests, your favourite subjects and why, what kind of career you would like later on, what supports you think you would need in getting to college. You may also include anything else you have done in your preparation for University such as courses, workshops, events etc.
Required
CLOSING DATE FOR SUBMISSION OF APPLICATIONS 5.00 pm Friday 6th October 2017

For further enquiries please contact schoolsprog@dcu.ie or telephone 01 7008052
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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