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Cap Applicationform 2024

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3 views

Cap Applicationform 2024

Uploaded by

Atangana Ngayene
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

SETU Carlow and

Wexford Campus
Access Programme 2024
Form Ref. CAP 2

Financial Supports –QQI-FE and Mature Applicants

Section 1: Personal Details


Surname: (as on Birth Cert) First Name: Date of Birth:

Home Address: Email Address :

Home Phone :
Mobile Phone:
Country of Birth:

Section 2: CAO Details


2024 CAO No. (not Leaving Cert. No.)

(A copy of your CAO confirmation email with course choices must accompany your application.)

Section 3: Personal Statement


This is mandatory and MUST accompany application

Your Personal statement should be in your own words and may be typed or written and must be attached
to your application form. It should include any information you believe to be relevant to your application, for
example, why you want to go to college, any barriers/difficulties you may have had, your reasons for
choosing the courses on your CAO, your hopes for the future, any courses/work experience/interests you
may have that you would like us to know about. Let us know about any visits and involvement you have had
with SETU and tell us why you should be considered for a place on the SETU Access Programme.

Applications without a Personal Statement will not be short-listed

Section 4: References
Please provide the name, occupation and contact details of a Person should we require it,
who can provide us with a character reference for you. E.g. VTOS Co-ordinator, Programme
Co-ordinator, Career Guidance Teacher, Principal.

Name : ________________________________ Occupation: ___________________________

Address : ____________________________________________________________________

Phone Number : _______________________________________________________________

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Section 5: History of Education
Tell us about your and your family’s prior education
Highest Level of Any other formal Current occupation
Education achieved to Education/Training or
date. Programmes? current place of study:
(Primary Education, Junior/
Leaving Certificate, PLC,
Diploma, Degree etc.)

Self

Partner

Mother

Father

Sibling 1

Sibling 2

Sibling 3

All applicants must complete the following table:


Section 6 : Income Details
Total income for the year ended 31st December 2023

Parents (if Partner (if Documents Required*


under 23) applicable)
Self (if
Mature)

Occupation N/A *

Income from Social Welfare (if P21 or Social Welfare


applicable) Statement*
Income from employment P21 and P60 *
(e.g. PAYE- salary, wages, fees, etc.)
Income from self-employment Notice of Assessment and
Accounts*
Income from pension P60 and P21*
(from former employer or pension
scheme)
Income from land: profits from Notice of Assessment and
farming activities Accounts*
Income from any other source. Relevant Evidence*
Please specify:
 Any change to your circumstances since 31st December 2023 (please include documents)
Care Leavers Must include a letter from TUSLA. Asylum Seekers must include evidence of
Leave to remain, Refugees should include evidence of status.

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Application Form Checklist

In order to avoid the return of incomplete application forms please ensure that
you:

1. Have supplied CAO confirmation email with Choice Information;

2. Have included your CAO number;

3. Have filled in all sections 1 – 7;

4. Have included a photocopy of your Junior Certificate/ Leaving Cert/QQI-FE/PLC results (if applicable)

5. Have attached all necessary financial documentation (or forward by 1st April 2024)

6. Have you completed the Personal Statement?

7. Have you signed the form?

Closing Date for receipt of completed forms is Friday, 1st March 2024
Closing date for receipt of financial and other supporting documentation is 1 st April 2024.

Declaration

Please tick boxes

I authorise SETU to download all information I may provide to the CAO regarding my financial
circumstances in order to support this application.

I give permission for my Referee to be contacted if necessary in relation to my application.

I understand that this application will be processed by Student Services personnel and other
relevant staff.

I certify that the information supplied in this SETU Access Programme form is correct and
complete.

I consent to SETU retaining my details for Carlow Access Programme purposes.

Signature of applicant: ___________________________ Date: ________________

Each Application will be considered on its own merit.


Incomplete forms cannot be processed
SETU is committed to protecting the rights and privacy of individuals with respect to the processing of their personal data. A
copy of the University’s Privacy notice is available on the Institute’s website (https://www.itcarlow.ie/resources/data-

Revision 2.0 Page 3 of 4


protection.htm ). This website also contains further information relating to your rights regarding subject access requests,
records retention and data protection in general. Any further queries in relation to the GDPR can be addressed to the
Institute’s Data Protection Oversight Group.

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