Application Form09.pub - Institute of Technology Blanchardstown

International Student
Application Form
Attach two
passport
sized
photos
here
Please use BLOCK CAPITALS and complete all sections
Personal Information
Family Name (as per passport): Gender: Male ⏐ Female
First Name (s) (as per passport):
Title: Mr ⏐ Mrs ⏐ Ms ⏐ Miss
Home Address:
Correspondence Address (if different from above):
E-Mail:
Name of Next of Kin:
Relationship: (father, brother, sister, etc)
Next of Kin Address:
Phone No (Including STD code):
Date of Birth:
Martial Status:
Nationality:
Passport No:
Agent Details:
Write the course name and code you are applying for and year of entry (if applicable)
See attached list of courses.
Course Name:
Course Code:
Year 1 Year 2 Year 3
Language Competence
If your mother tongue is not English, you must have an internationally recognised English Language qualification such as IELTS, TOEFL or equivalent. Minimum
standards are given in the table below. A copy of your original transcript must accompany this application form.
(Circle the score you achieved)
IELTS
TOEFL (P)
TOEFL (C)
TOEFL (I)
Bachelor Degree Courses
5.5
525
196
69-70
Higher Diploma Courses
6.0
550
213
79-80
Masters Courses 6.0
OFFICE USE ONLY:
550
213 79-80

Educational Qualifications
1. Secondary School, Name and Address Final Award Grade Year
2. Third Level College/University, Name and Address Final Award Grade Year
Employment History
Employer’s Name & Address Position Held Length of Service
1.
2.
Application Checklist
Make sure you have :
Completed the Application Form in full.
Provided evidence of English Language Competency.
Enclosed copy of your Passport photo page.
Attached notarised copies of transcripts/certificates of your qualifications.
Attached two signed passport photos.
Incomplete Applications Forms will not be processed
COMPLETED APPLICATION FORMS TO BE SENT TO:
International Office,
Institute of Technology Blanchardstown ,
Blanchardstown Road North,
Dublin 15.
Ireland.
Tel: +353-61-633314
Fax: +353-61-633334
Email: international@itb.ie
Declaration
I declare that the information given by me on this form is true and accurate and that if I am admitted as a student I will abide
by the rules and regulations of ITB. I authorise ITB to provide such information contained in this form to HETAC, the
Department of Education and Science and other relevant authorities. I will abide by the terms and conditions as outlined on
the website and in the college brochures.
Signature:
Date:

ITB Full-Time Course Listing
Applied Social Studies
Bachelor of Arts in Applied Social Studies in Social Care (BN011)
Bachelor of Arts (Honours) in Applied Social Studies in Social Care (BN107)
Bachelor of Arts (Honours) in Applied Social Studies in Social Care (BN409)
Business
Higher Certificate in Business (BN003)
Bachelor of Business in Information Technology (BN010)
Bachelor of Business (BN014)
Bachelor of Business (BN016) - (allowing specialisation in Business or Business with Information Technology or International Business or Accounting
and Finance)
Bachelor of Business in International Business (BN017)
Bachelor of Business (Honours) (BN101)
Bachelor of Business (Honours) in Information Technology (BN103)
Bachelor of Business/Arts (Honours) (BN109) - (allowing specialisation in Business with Information Technology or Business with Information
Technology and a Language or International Business or Accounting and Finance)
Bachelor of Business (Honours) in International Business (BN110)
Bachelor of Business (1 year add-on to BN003) (BN303)
Bachelor of Business (Honours) (BN403) - (1 year add-on to BN303 or 1 year add-on to Bn004 or 1 year add-on to BN010 or 1 year add-on to
BN014)
Bachelor of Business (Honours) in Information Technology (BN405) - (1 year add-on to BN010)
Bachelor of Business (Honours) in International Business (BN411) - (1 year add-on to BN017)
Master of Business (BN519)
Social and Community Development
Bachelor of Arts in Social and Community Development (BN025)
Bachelor of Arts (Honours) in Community and social Development (BN115)
Bachelor of Arts (Honours) in Community and social Development (BN415) - (1 year add-on to BN011)
Computing
Higher Certificate in Science in Information Technology (BN002)
Bachelor of Science in Computing in Information Technology (BN013)
Bachelor of Science (Honours) in Computing (BN104)
Bachelor of Science in Computing in Information Technology (BN302) - (1 year add-on to BN002)
Bachelor of Science (Honours) in Computing (BN402) - (1 year add-on to BN302 or 1 year add-on to BN013)
Creative Digital Media
Bachelor of Arts in Creative Digital Media (BN021)
Bachelor of Arts (Honours) in Creative Digital Media (BN112)
Bachelor of Arts (Honours) in Creative Digital Media (BN413) - (1 year add-on to BN021)
Engineering
Higher Certificate in Engineering in Electronics and Computer Engineering (BN001)
Bachelor of Engineering in Mechatronics (BN009)
Bachelor of Engineering in Computer Engineering (BN012)
Bachelor of Engineering (BN015) - (Allowing later specialisation in Computer Engineering or Mechatronics)
Bachelor of Science in Sustainable Electrical and Control Technology (BN039)
Bachelor of Engineering (Honours) in Mechatronics (BN105)
Bachelor of Engineering (Honours) (BN106)
Bachelor of Engineering (Honours) (BN108) - (Allowing later specialisation in Computer Engineering or Mechatronics)
Bachelor of Engineering in Computer Engineering (BN301) - (1 year add-on to BN001)
Bachelor of Engineering (Honours) In Computer Engineering (BN401) - (2 years add-on to BN 301 or 2 years add-on to BN012)
Bachelor of Engineering (Honours) In Mechatronics (BN407) - ( 2 years add-on to BN009)
Horticulture
Bachelor of Science in Horticulture (BN022)
Bachelor of Science (Honours) in Horticulture (BN113)
Bachelor of Science (Honours) in Horticulture (BN406) - (1 year add-on to BN022)
Sports Management and Coaching
Bachelor of Arts in Sports Management and Coaching (BN020)
Bachelor of Arts (Honours) in Sports Management and Coaching (BN111)
Bachelor of Arts (Honours) in Sports Management and Coaching (BN412) - (1 year add-on to BN020