columcille institute

Application Form

Please complete all fields. Your application will not be considered if it is incomplete.

Select Application Type

 

American Student (Full Travel Package)

Irish Student (Ards Only Package)

 

General Information

First Name
Last Name
Home Telephone
Student's Email
Please note: We use this email address to communicate news about the application/acceptance process, so please enter an email that is actually used by the student or parent. Thanks!
Student's cell phone # (if applicable)
Home Mailing Address (line one)
  (line two or county for Irish residents)
City
State (US residents only)
Zip
Country
Gender Male     Female
Age
Name of Parent or Guardian (if applicable)

How did you hear about this program?
 

Statement describing yourself (min. 200 words):

 

Please write a statement (at least 200 words) describing yourself: hobbies, extra-curricular activities, interests, family life, sports, etc.. Also explain what you hope to gain from the St. Columcille Institute.


Current School Information

Name of current school
Address (line one)
  (line two)
City
State
Zip
Country

Level of education:

Applicant is in good standing with current institution, meaning the participant is under no
adverse disciplinary or probationary status. Yes     No
(If no, please explain in the questions/comments box below.)

 


blahYour application will be reviewed upon reception. Once accepted to the Institute, you will be contacted and asked to make a deposit ($500 for American students / €300 for Irish students) to reserve your spot. Payment in full will be due May 31, 2013.

 

Questions/Comments:

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