EmailMeForm
Undergraduate Open Day Registration March 2018
March 24th 2018
Name
First
Last
Date of birth
DD
/
MM
/
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I am
Female
Male
Prefer not to disclose
Home address
County
Please select
Antrim
Armagh
Carlow
Cavan
Clare
Cork
Derry
Donegal
Down
Dublin
Fermanagh
Galway
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Tyrone
Waterford
Westmeath
Wexford
Wicklow
Outside of the island of Ireland
Country
School name
Email address
Phone number
Please select your main areas of interest
Arts
Business
Engineering
Law
Medicine
Science
What is your planned year of entry?
2018
2019
2020
2021
2022
Are you interested in finding out more about:
High Performance Sport at NUI Galway
Accommodation at NUI Galway
Academic Scholarships at NUI Galway
Creative Arts Performance Points
Other
USE OF DATA: The information collected above will be used to send you information on Open Days and further relevant information in the future. Your details will not be passed or sold to any third party.
I am happy that you send me information on open days and other relevant information- we won't send you any junk mail!
I do not want you to send me any further information
