Postgraduate Application Form

Postgraduate Programmes
(Taught Masters, PG Diplomas, Higher Diplomas)

Application Form
If you have ever been registered on a course in ATU DONEGAL quote your student /ID Number and the latest
calendar year you attended ATU DONEGAL:
ID NUMBER: YEAR
Section One: Personal Details (Please Complete In Block Capitals)
Surname:
First Name(s):
Address:
Eircode*:
*required for all Republic of Ireland addresses. Eircode can be obtained at https://finder.eircode.ie/#/
Email Address:
Phone Number:
Country of Birth: Nationality:
Gender: Male Female

Undeclared
Date of Birth: (ddmmyy):
PPS Number*:
*required for all Irish domiciled students
Section Two: Programme Choice
ACCS (part-time)
Preference Course Title Applicants
Course Code
No. (Full course title as per ATU DONEGAL Website/Prospectus) (tick here)
1.
2.
3.
Section Three: Previous Third Level Education (Higher Education)
Please list your qualifications in order of completion (most recent first).
Higher Years of Award Type Overall Date

Education Study Full Award Title (e.g. Ord Degree – Level 7; Result Conferred
Institution (From – Hons Degree –Level 8; (if (if
Attended To) Masters – Level 9) known) applicable)
(MM/YY)
Please enter your results for the Final year of your highest qualification in the table below.
MODULE TITLES OF HIGHEST MODULE TITLES

QUALIFICATION MIN. HONOURS GRADE OF HIGHEST QUALIFICATION GRADE
ECTS ECTS
DEGREE OR EQUIVALENT (LEVEL (%) MIN. HONOURS DEGREE OR (%)
8) EQUIVALENT (LEVEL 8)
Note: Official Transcripts of results of relevant qualifications must also be ATTACHED.
If your results will not be available until after June 9th please tick here .
Official Transcripts of results should be submitted as soon as they become available.
Section Four: Relevant Work Experience
Employer One (if applicable)
Name of Employer:
(state Self if Self Employed)
Address:
Phone Number:
Position Held:
Dates of Employment (mmyy): From To
Full/Part Time Full Time Part Time
Brief Description of Duties:
Employer Two (if applicable)
Name of Employer:
(state Self if Self Employed)
Address:
Phone Number:
Position Held:
Dates of Employment (mmyy): From To
Full/Part Time Full Time Part Time
Brief Description of Duties:
Section Five: Referees

Provide the name of two persons who may be contacted regarding your academic work and employment. Please include at
least one academic reference.
Name Name
Address: Address:
Phone Number: Phone Number:

Email Address: Email Address:
Position Held: Position Held:
Section Six: Personal Statement
State your reasons for applying and provide any further information which you would wish to give in support of your application
(Maximum 400 words)
Section Seven: Postgraduate Scholarship – Pushing Boundaries
Note: This scholarship has been designed for students who are in receipt of no other form of financial assistance to study from a
grant awarding body and is only available to EU Students on full-time postgraduate programmes.
The Scholarship is in the form of €1000 reduction in the fees in each of the two Semesters. It will be awarded based on academic
merit (a minimum of an honours 2:2 is required). For a full list of conditions pertaining to ‘Pushing Boundaries’ please refer to the
ATU DONEGAL website.
Yes No
I confirm I wish to apply for the Pushing Boundaries Scholarship?
Have you ever received a student grant?

If yes who was the grant awarded from? E.g. SUSI, ETB
Have you applied or will you be in receipt of any other student financial assistance for the forthcoming
academic year?
If yes, please give details.
The individual in receipt of the Scholarship must be attending the programme on a full-time basis. Students who are in receipt of
financial support from a grant awarding body are not eligible for this scholarship. Please tick below to confirm this.
I confirm I will be attending a full-time postgraduate taught Masters programme in ATU DONEGAL and am not in receipt of other
financial support to study from a grant awarding body.
Section Eight: Confidentiality & Data Protection Statement

The information you provide on this form will be used to administer your application for a programme and, should you be
successful, will form the basis of your student record. Some data submitted, including PPSN, may be used for the
purpose of statutory and other returns required by the Department of Education or Higher Education Authority and may
also be released to the Department of Social Protection in connection with their Anti-Fraud checks. Additional information
or documents may be requested to process the application and verify information submitted.
By ticking the box opposite you agree that:

(i) ATU DONEGAL may process your personal information;
(ii) All information entered on this form is true, accurate and complete.
Signature of Applicant: ___________________________ Date: ________________
Please return the completed application form together with supporting documentation:
by email to admissions.donegal@atu.ie

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Postgraduate Programmes

(Taught Masters, PG Diplomas, Higher Diplomas)

Section One: Personal Details (Please Complete In Block Capitals)

Country of Birth: Nationality:

Gender: Male Female

Date of Birth: (ddmmyy):

Section Two: Programme Choice

Please list your qualifications in order of completion (most recent first).

Higher Years of Award Type Overall Date

MODULE TITLES OF HIGHEST MODULE TITLES

Note: Official Transcripts of results of relevant qualifications must also be ATTACHED.

Employer One (if applicable)

Brief Description of Duties:

Employer Two (if applicable)

Brief Description of Duties:

Section Five: Referees

Phone Number: Phone Number:

Have you ever received a student grant?

If yes, please give details.

Section Eight: Confidentiality & Data Protection Statement

By ticking the box opposite you agree that:

Signature of Applicant: ___________________________ Date: ________________

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Signature of Applicant: ___________ Date: