<%@LANGUAGE="VBSCRIPT"%> <% Dim rsCourse_List Dim rsCourse_List_numRows Set rsCourse_List = Server.CreateObject("ADODB.Recordset") rsCourse_List.ActiveConnection = MM_dife_STRING rsCourse_List.Source = "SELECT * FROM All_Courses ORDER BY Course_Code ASC" rsCourse_List.CursorType = 0 rsCourse_List.CursorLocation = 2 rsCourse_List.LockType = 1 rsCourse_List.Open() rsCourse_List_numRows = 0 %> DIFE:   <% If (Request.Querystring ("valid") = "false")then %> Please Note: If you wish to make an application then you must agree to be bound by the terms and conditions of Application and the Disclaimer on this form. Please restart your application <% End IF %>
DIFE COURSE APPLICATION FORM : <% DateToday = WeekdayName(Weekday(Weekday(Date()))) & ", " & MonthName(Month(date())) & " " & Day(Date()) & ", " & Year(Date()) %> <%=DateToday%>
First Name: Surname/Family Name:
Address:
Telephone (Home): Telephone (Mobile):
Email Address: Date of Birth: Select Date
Country Of Origin:
PPS Number:
Status: Other - please specify:

 

 If you have a disability that you wish us to be aware of or if you require assistance please tick the box
 

If you were in full-time education last September, please state name and address of the School/College attended:
 
If not in full-time education, state whether you were employed or not:
 
Courses for which Applying - Please select up to three courses:
Selection 1:
Selection 2:
Selection 3:
 
Education - (For Department of Education statistics only). Any results, portfolios, progression folders from Level1, personal development, moving on, etc. can be produced at time of interview. (Tip Shift and Click to make multiple selections).
 
 
Further or Higher Education (Please give details)
 
Other Courses (Please specify)
 
Where did you find out about the the DIFE course for which you are applying?
Terms and Conditions of Application
I agree that I will sign and verify this form at interview
If a place is awarded I agree to abide by the Institute Regulations
Disclaimer
Applicants are reminded that offers of places in DIFE are made under the Rules & Regulations of Co. Louth Vocational Education Committee. The Committee reserves the right to alter or cancel any course or part thereof, and the right of admission is reserved by the Institute.
<% rsCourse_List.Close() Set rsCourse_List = Nothing %>