Burren College of Art  
   
   

Post Baccalaureate Certificate

Application Form

Please note that fields in bold type are required and must be filled in.

Personal Details

First Name:
Middle initial
Last Name:
 
Correspondence Address:
Permanent Address (if different from Correspondence Address):
Telephone:
Fax:
Email:
Date of Birth (dd/mm/yy):
Age (in numerals):
Gender (Please tick)
Male Female
 Citizenship:
Social Welfare/Social Security Number:

Undergraduate & Graduate Education

List all undergraduate colleges and graduate schools attended, including locations, dates of attendance and degrees granted.
College Name and Address

Entrance Date:

Graduate Date:

College Name and Address

Entrance Date:

Graduate Date:

College Name and Address

Entrance Date:

Graduate Date:

College Name and Address

Entrance Date:

Graduate Date:

You must request an official record/ transcript from each undergraduate and graduate institution you have attended.

Employment

Current Occupation:
Current and previous employment (past five years)

References

List the names and addresses of persons whom you have asked to write letters of recommendation.
Name:

Address:

Telephone:

Fax:
Name:

Address:

Telephone:

Fax:

Checklist

How did you hear about the Burren College of Art?
Website
Poster/Literature
Alumnii
Advertisement
Other - Please specify
Please ensure that you return the following to Burren College of Art - we will keep your application on file in the meantime.
  • Official Records/ Transcripts
  • Proposal
  • Resume
  • Birth Certificate
  • A copy of an essay on art, or a critical review of an exhibition
  • portfolio of ten works minimum (may be represented on Slides /CD / Video
  • Letters of Recommendation (2)
  • Application Fee of Eur50

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