Scholarship Application

IT Tallaght Sports, Arts & Culture Scholarships

IT Tallaght Scholarship Application

Please fill out the form.

Section 1 - Personal Details
All fields are mandatory
- Your Name*
  First Name
  Last Name
- Your Address*
  Street Address*
  Address Line 2
  City*
  State / Province / Region*
  Zip / Post Code
  Country*
- Your Student Number*
- Your Course of Study*
- Your Course Year*
- Your Email*
- Phone*
- Date of Birth*
- Secondary School Attended*
- Jacket Size*
Section 2
All fields are mandatory
- What sport/activity are you applying for?*
- Have you attended all training sessions?*
  If not please briefly explain why
- Have you attended all meetings?*
  If not please briefly explain why
- Have you attended all fixtures?*
  If not please briefly explain why
Section 3
All fields are mandatory
- Name of outside club you are registered with?*
- What is your preferred playing position?*
- Do you have any representative honours?*
- Please list your best achievements in the last 2 years?*
- What level do you participate at?*
- Do you have a national ranking?*
- Do you have an international ranking?*
Section 4
All fields are mandatory
- Are you on a Club Committee? *
  Yes
  No
- What role do you fulfill within the Club in order to develop and run the Club?*
- Did you attend Guild Meeting Wednesday 13th September 2017?*
  If not please briefly explain why
- Did you attend Workshop 1 on Tuesday 3rd October 2017?*
  If not please briefly explain why
- Did you attend Workshop 2 on Wednesday 4th October 2017? *
  If not please briefly explain why
Reference 1
All fields are mandatory
- Reference 1 Name*
  First Name
  Last Name
- Reference 1 Position/Title*
- Reference 1 Email*
- Reference 1 Contact Number*
Reference 2
All fields are mandatory
- Reference 2 Name*
  First Name
  Last Name
- Reference 2 Position/Title*
- Reference 2 Email*
- Reference 2 Contact Number*

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