EmailMeForm
Mature Student Information Evening 2019
Wednesday, 16th January 2019
Name
*
First
Last
Date of birth
DD
/
MM
/
YYYY
I am
Female
Male
Prefer not to disclose
How would you like to study?
Part-time
Full-time
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
Email address
*
Phone number
Please select your main areas of interest
*
Arts
Business
Engineering
Law
Medicine
Science
Other
Where did you find out about the event:
Facebook/Social Media
Radio
Newspaper
Website
NUI Galway Mature Students Guide
What is your planned year of entry?
*
2019
2020
2021
2022
USE OF DATA: The information collected above will be used to send you information for this event 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
