COURSE APPLICATION FORM. Professional Diploma Post Primary Education

COURSE APPLICATION FORM Professional Diploma Post Primary Education Please complete this application form with reference to the accompanying Information Sheet. SECTION 1: PERSONAL DETAILS Surname: (As you wish it to appear on any awards) First Name: (As you wish it to appear on any awards) This should be the name you wish to be used for all communications with us, your online accounts and your parchments upon completion If you have changed name since any qualifications were issued, please provide proof of this, e.g. marriage cert or deed poll Address for Correspondence: This should be the most reliable address where you can be assured all mail will reach you for the duration of your 2 year programme Gender: Tel. No (Day): Tel. No (Evening): Please note that email accounts such as (see Note 1) yahoo and hotmail can have very sensitive spam filters. Keep an eye on E-mail Address: your spam/junk mail folders for correspondence from us Date of Birth: Country of Birth: SECTION 2: SECOND-LEVEL EDUCATION Type of Qualification: (See Note 5) (Leaving Certificate; A-Level) Name of Secondary School: Dates of Attendance: Examination Results: Subject Pass/Honours Grade Please detail results for all subjects, including repeat attempts if applicable 1 of 13

SECTION 3: THIRD-LEVEL/OTHER EDUCATION Please attach an additional sheet if necessary. Title of your degree, BA, BSc, BComm, MA, MPhil, PhD etc Title of Title of Qualification: Qualification: Awarding Body: Institution Attended: Dates of Attendance: Overall Grade: Examination Results: (Subject; Grade) The body Awarding who accredit the award: HETAC, NUI etc Body: Institution Attended: Dates of The grade Attendance: you received at award stage, e.g. 1 st, 2.1, pass etc Overall Grade: You need Examination only include grades in the main subjects, Results: not each module (Subject; Grade) Please note that a full transcript of results is required. The College cannot accept photocopies. Transcripts must be original or a certified copy. Please also note that going forward, if the institution that you studied at offer online verification mechanisms to authenticate documents, we will accept this as a method of verifying your transcripts. Please ensure that you enclose the unique identifying codes and usernames to enable us to do so. A certified copy is a photocopy of an official document certified as being a true copy of the original by either a Garda or solicitor. To obtain a certified copy, you should make a photocopy of your original document and bring the original and the copy to a solicitor or Garda station. The solicitor or Garda will look at both, confirm the two are identical and stamp and sign the photocopy, which is then the certified copy (you need not do this for each of your 4 versions of your transcripts you may submit photocopies of the same certified copy). In doing this, we have verification that your qualifications or results are correct and legitimate, and you will keep your original documents. 2 of 13

SECTION 4: TEACHING SUBJECTS Please specify what first subject methodology you are applying for i.e. what do you intend to be a recognised teacher of? (See note 6) 1. Gaeilge 2. English 3. Modern Languages Please specify language: 4. History 5. Geography 6. CSPE 7. Mathematics 8. Physics 9. Chemistry 10. Biology 11. Accounting 12. Business 13. Economics Please carefully read all notes regarding subject choice selection and eligibility for Teaching Council registration prior to completing this section Please only tick one subject in each of these sections Remember! It is your own responsibility to confirm your eligibility for Teaching Council registration for your chosen subjects *Modern Languages: Please note the Modern Languages content is general teaching methodologies; however, you will need to secure a teaching placement in the language class you have selected. *It is essential that applicants complete and confirm the declaration on the following page. Please specify the second subject methodology you intend to study as part of this programme. All students are required to study a second methodology. Students can only register with the Teaching Council as a teacher of this second subject if their degree satisfies the Teaching Council s recognition requirements for this subject. If you do not have a second recognised subject, please indicate the second subject you have the highest qualifications, experience or expertise in. (See Note 7) 1. Gaeilge 2. English 3. Modern Languages Please specify language: 4. History 5. Geography 6. CSPE 7. Mathematics 8. Physics 9. Chemistry 10. Biology 11. Accounting 12. Business 13. Economics 3 of 13

Please outline the degree-level qualification or alternative study level and experience you have in this subject (submission of evidence of experiential learning to demonstrate subject knowledge and competence may be required) (See note 7) Degree-level study, recognised by the Teacher Council for the purpose of registration as a post primary teacher Studied as a significant component to degree level (note that a full transcript of results is required) Other study level and/or experience in the selected subject (please detail): Please tick one of the boxes as appropriate 4 of 13

QUALIFICATIONS RECOGNITION DECLARATION Details of Qualification Recognised by the Teaching Council for the Purpose of Admission to the Register of Teachers It is the responsibility of all applicants to check that their award is recognised by the Teaching Council for the purpose of Teacher Registration and satisfies the subject-specific criteria. A list of recognised awards and details of subject-specific criteria are available and clearly identifiable on www.teachingcouncil.ie All applicants must complete the information requested Please read below this page and sign carefully the and note declaration. that in signing it, you agree and confirm Example: your awareness of the fact that you have checked your degree is approved by the Award Title: BSc Hons Computing Software Development Teaching Council Awarding Body: HETAC Institution of Study: Tipperary Institute You must confirm and sign the bottom of this page having read and completed it. Applications not signed will not be Meets the Subject Criteria for Registration as a Teacher progressed of: ICT Award Title: Awarding Body: Institution of Study: Meets the Subject Criteria for Registration as a Teacher of: and, if applicable, (subject 2) Please read and confirm the following: I accept it is my responsibility to ensure the suitability of my degree for registration by the Teaching Council of Ireland. I have read the general and specific criteria for this subject and the coverage of this within my degree fully satisfies these criteria. I have checked that my degree is listed on the Teaching Council list of degree/teacher education programmes recognised for post-primary registration purposes. OR I have a level 8 degree and a letter of recognition from the Registration Council of the DES or the Teaching Council and enclose a copy of this with my application. Signed: Date: 5 of 13

SECTION 5: SECOND-LEVEL TEACHING EXPERIENCE Note: Previous teaching experience is not a prerequisite for entry to the programme. However, such experience may strengthen your application. Include any relevant experience below. Please attach an additional sheet if necessary. Date Held (from/to): Teaching experience is not an entry requirement Position: for the programme, and having or not having teaching experience will not influence your Employer: likelihood of securing a place on the programme. Address: However, having teaching or observation experience will help you to assess whether you Phone Number: might enjoy and have an aptitude for a career as a teacher so it can be advantageous to have some classroom experience in this regard. Similarly, Date Held (from/to): having classroom experience will demonstrate to Position: the interview panel that you have put thought and effort into your application and into your decision to Employer: apply for the programme. Address: Please only detail here teaching or classroom Phone Number: experience in a post-primary setting Date Held (from/to): Position: Employer: Address: Phone Number: Note that Hibernia College reserves the right to contact schools to confirm details of teaching experience. SECTION 6: OTHER RELEVANT EMPLOYMENT Date Held (from/to): Description: Employer: Address: Phone Number: Note that Hibernia College reserves the right to contact schools to confirm details of teaching experience. 6 of 13

SECTION 7: OTHER EXPERIENCE (e.g. Relevant Voluntary Work) Please attach an additional sheet if necessary. Please give details of employment background (if any): Date Held (from/to): Description: Employer: Address: Phone Number: Note that Hibernia College reserves the right to contact an employer to confirm details of school experience. SECTION 8: HEALTH/DISABILITY/SPECIFIC LEARNING NEED - OPTIONAL Provision of the information in this section is requested only to enable Hibernia College to accommodate your needs and will not prejudice your application. Please state any disability, condition of health or specific learning need which could have a bearing on your studies and which requires the provision of appropriate facilities: Completion of this section is optional; if you have a specific learning need, a health/medical condition or disability that you feel may impact on your Please give details of any facilities that you may require to enable you to participate in your progress through the programme, you should course of study. If none, please state none : disclose it here. This will not prejudice or influence your application in any way; this information can be used to, for example, reinforce an application you may make for e.g. assignment submission extensions, a deferral, or to adapt learning Please note, for the College to reasonably accommodate individual needs, you will be required to provide a report from a materials consultant to or better Educational meet your Psychologist needs. as We appropriate. may need supporting documentation from a medical consultant for this. 7 of 13

SECTION 9: FEE PAYMENT - COST OF PROGRAMME The Hibernia College tuition fee for post-graduate programmes in initial teacher education leading to recognised teacher status is 8,950. Tuition fees may be eligible for tax relief at the marginal rate. Additional fees payable over the course of the programme: Graduation - 60 (this was the fee for 2011) A non-refundable application fee of 75 must be included with your application form. A non-refundable deposit of 10% of the tuition fee (i.e. 895) must be paid to the College on successful admission to secure your place. The remainder of course fees must be paid prior to the course commencement date. All fees are non-refundable. Cheques, drafts and money orders are payable to Hibernia College. You may also pay by credit card by completing the form below. All fees are subject to change without notice. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - - I hereby authorise Hibernia College to charge 75 to my VISA/MasterCard/Laser Card as payment of the application fee for this course. VISA/MCard No. Laser Card No. Exp Date Security Code* *Your security code is the last three digits on the white strip on the back of your credit card. Please only complete credit card details on one version of your application form do not fill in BLOCK LETTERS credit card details on all photocopies of your form Name of Applicant: If you wish to avail of or apply for funding/loans etc Name on Card: to assist you with your fees, this is an independent process which Hibernia College cannot assist you Contact number of card holder: with (apart from verification of your participation on the programme should you be accepted). We do Signature: not provide information regarding any specific funding options. We do not offer instalment plans or payment schedules for fee payments 8 of 13

SECTION 10: ADDITIONAL INFORMATION Please provide a statement outlining any supplementary information (personal achievements, career goals, etc.) that you feel may support your application and explaining why you wish to enrol on this programme. You should include here any information you feel may support your application this can be as long or as short as you wish. Often, applicants include details here of, for example, hobbies and interests, achievements, aspirations, reasons for why they have chosen a career in teaching, why they have chosen the particular programme, why they have chosen Hibernia College and so on 9 of 13

SECTION 11: CHECKLIST Before returning your application form, please ensure you; Please tick Have fully completed all sections of the application form and included 3 copies Have included transcript of results for Leaving Certificate. Transcripts must be original or a certified copy. Uncertified photocopied transcripts are not accepted. (See Note 3). Please note that we cannot return original transcripts It is advisable to read this section carefully to Have included a full transcript of results for all years of your degree, i.e. if your ensure you have fully completed all the sections degree was three years in duration you must send in transcripts for each of the three years. Transcripts must be fully original and accurately or a certified copy. Uncertified photocopied transcripts are not accepted. (See Note 3). Please note that we cannot return original transcripts or parchments. A transcript of results from your University will suffice) confirming that you hold a primary degree (National Framework of Qualifications (NFQ) Level 8). This must confirm the level of award that you received (e.g. First Class Honours, Second Class Honours Level 1, etc.) Have confirmed the suitability of your degree for the purpose of recognition for entry to the Teaching Council Register of Teachers and signed the declaration in Section 3. Have included a transcript of results (a copy will suffice) for any listed postgraduate qualifications Have included a cheque, draft, money order or credit card details as payment of the application fee ( 75) We would appreciate it if you could let us know where you first heard about the Hibernia College PDE programme (please tick left side): Irish Independent Irish Times Metro Herald Sunday Business Post Sunday Independent Internet Search Google Adwords Radio Please specify station if known: Other, please specify: Facebook Postgradireland.com Postgrad.ie Where you heard about us: this information is used Qualifax.ie for our marketing purposes and we very much Hibernia appreciate College you web assisting site us with this in providing Hibernia this detail College Graduate/Student Did you attend a webinar with Hibernia College? YES / NO Applicants should only apply when they have all the information required. Incomplete applications, including those with results pending, will be deemed unsuccessful and the application fee will not be refunded. I formally apply to Hibernia College for a position on the course as stated above. All the above information I have given is correct, to the best of my knowledge. Signed Please Date do not forget to sign the end of this section Please return one original and three copies of your completed application form to: The Admissions Office, Hibernia College, 2 Clare Street, Dublin 2, Ireland. 10 of 13

APPLICATION INFORMATION SHEET Note 1: Applicants selected for interview will be contacted by email and/or phone during working hours. Please provide a daytime/mobile number for this purpose. Applicants will be required to confirm their availability to attend for an interview within a number of days of being notified and as such, it is important that you check your email and voice mail at regular intervals during the admissions process. If you do not hear from the College within two weeks of submitting your application, please email the Office for Academic Affairs to follow up The following pages give some more in-depth on this at academicaffairs@hiberniacollege.net. Please note that the College will keep an application for six months. If notes the about applicant the programme has not responded and completing to the your College s correspondence or accepted an application interview in form. that time, You the should application read these will be carefully automatically withdrawn and the applicant will need prior to reapply. completing your form Applicants must bring a valid photographic identification with them to the interview; this should be a current passport or driving license. If you fail to present identification, the interview panel cannot proceed with the interview. Note 2: In the instance of successful applications outnumbering places available, successful applications received after the quota of places have been offered will be offered a place in the subsequent cohort. Offered places will be retained for the applicant upon receipt of the required deposit, if received by the date specified in the offer letter. Outcomes of the admissions process will be made known to applicants within one month of the final stage of admissions being completed. Note 3: You must submit original transcripts of results or a certified copy with your application form confirming that you received the required grades in your Leaving Certificate. The College regrets that it cannot return this original documentation. A certified copy is a photocopy of an original identity document that has been certified as being a true and accurate copy of the original document. The certified copy must be stamped and signed by your local Garda Station, a solicitor or peace commissioner. Bring your original transcripts plus a photocopy to any of the above. To order an original transcript of your Leaving Certificate results online, visit the Examinations Section of the Department of Education & Science website at http://www.examinations.ie/main.php?l=en&mc=ca&sc=se Note 4: You must submit an original transcript of results or a certified copy (see Note 3) confirming that you have obtained a primary degree (NFQ Level 8) recognised by the Teaching Council for the purpose registration as a post primary teacher. This must confirm the level of award that you received (e.g. First Class Honours, Second Class Honours Grade 1, etc.) and a full transcript of results for all years of your degree. If you have a letter of recognition from the DES or the Teaching Council, you must submit a copy of this. Please also include details of any postgraduate qualifications you hold and include a copy of your transcript of results. Again, this should confirm the level of award that you received (e.g. First Class Honours, Second Class Honours Grade 1, etc.) The College regrets that it cannot return this original documentation. 11 of 13

Note 5: Entry requirements Applicants should have: A Level 8 degree, which either: o Satisfies the curricular subject criteria published by the Teaching Council and is included on the Teaching Council s List of Degree/Teacher Education Programmes Recognised for Post-Primary Registration Purposes o Has been previously assessed by the Registration Council of the Department of Education and Skills or the Teaching Council for the purpose of post primary teaching. A copy of the letter confirming recognition will be required. Hibernia College is in no way responsible for the assessment of qualifications for the purpose of registration. Whilst we will make every effort at the time of application to notify applicants if we believe there may be a concern with their qualification, the fact that they are accepted to the PDE does NOT mean their degree will be recognised for entry to the Register of Teachers by the Teaching Council. Hibernia College will not be held responsible if a graduate of the Higher Diploma is refused admission to the Register of Teachers on the basis of an erroneous declaration at the point of application and admission to the programme. In addition, applications are required to possess: Minimum grade C (ordinary level) or grade D (higher level) in Leaving Cert English Or For students who sat the GCSE and GCE A Level examinations: Minimum grade C in GCSE English Minimum grade C in GCSE English Literature The following will also satisfy the minimum requirements in English: an equivalent qualification and standard in English. Students who are unsure of the level of their primary degree should contact the conferring college or university or contact the National Qualifications Authority of Ireland at www.nqai.ie. Note that there are no concessions for mature students. All applicants must meet the same minimum entry requirements to be considered for admission to the programme and all applicants who meet those requirements will be called for interview. All students entering the programme will be subject to Garda Vetting. Students successful in securing an offer on the PDE programme will be advised that all offers are subject to a satisfactory Garda Vetting. Entry to the programme will be a two-stage process. All applicants satisfying the academic entry requirement will then be called for an interview. Interviews will be carried out by an experienced panel. Note 6: First Teaching Subjects Each student teacher will study recognised post-primary subjects that were taken as a major component of their degree programme as per Teaching Council regulations. Applicants should refer to the Teaching Council s General and special requirements for teachers of recognised subjects in mainstream post-primary education and the List of Degree/Teacher Education Programmes Recognised for Post-Primary Registration Purposes. Alternatively, those students who have a letter of recognition from the DES or the Teaching Council will study those subjects for which they have been recognised for registration purposes. 12 of 13

Note 7: Second Teaching Subject Students may be registered by the Teaching Council in their second subject provided their degree is also recognised for this subject for the purpose of registration as a post primary teacher (see Note 6). Any student who has only studied one subject at degree level or does not have a second subject recognised by the Teaching Council for the purpose of registration as a post primary teacher will be offered the opportunity to undertake a second curriculum methodology. Suitability for a second subject methodology will be assessed by the Programme Director. In some cases, substantial work experience and/or alternative study (for example at Master s level) in a second subject may enable the student to choose this subject as a second methodology. Note that evidence of experiential learning to demonstrate subject knowledge and competence may be required and that such claims will be assessed on an individual basis and that experiential evidence provided must be validated by the School Principal or Head of Department as appropriate. All students are required to study a second methodology. Students can only register with the Teaching Council as a teacher of this second subject if their degree satisfies the Teaching Council s recognition requirements for this subject. 13 of 13