Apply :: The Naughton Foundation

NAUGHTON SCHOLARSHIPS, 2012 APPLICATION FORM
SECTION I PERSONAL DETAILS
Surname(s)
Forename(s)
Date of Birth
Home Address


County of School
Telephone
Mobile
Email address
Name of Referee
Referee Telephone
Referee Email
SECTION II : EDUCATION DETAILS
(a) Second Level School Attendance (Please list current school first)
Schools Attended
from
to
If there is any other extra information relevant to your school attendance, e.g. school in a different county to home address, please state below.
(Max 100 Words)

(b) Leaving Certificate (Please list by, higher level first, all subjects you are taking)
Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
Subject 7
Subject 8
Subject 9
Subject 10
(c) 2012 CAO Application
CAO Number
Please list the top four preferences in your CAO application form.

	Course Title	Institution	Duration	CAO Code	CAO Level
1st
2st
3st
4st

(d) Northern Ireland Course Applicants

List your top four choices

	Course Title	Institution	Duration	UCAS Code	Applicant Number
1st
2st
3st
4st

SECTION III APPLICANT STATEMENTS

Please detail any non-academic pursuits and achievements including sporting and voluntary activities and other interests.

(Max 200 Words)

Please provide a statement detailing information you believe to be relevant to your application. The statement should explain why you are choosing to study your chosen course and what you hope or imagine you might be doing ten years after you leave college (Max 150 Words)

(Max 200 Words)

Please explain how a Naughton Scholarship would be of benefit to you during your studies and in the future.

(Max 150 Words)

Data Protection

Please note that the information supplied in this application will be held and processed by The Naughton Foundation in accordance with the Data Protection Acts, 1988 and 2003. Personal data will be shared with the Selection Panel and the Trustees of The Naughton Foundation and details of scholarship winners will be made available to the press and posted on our website. Personal data will be used to assess and select candidates.

I hereby certify I have read the Terms & Conditions of the Naughton Scholarships and that all the information above is true and correct. Please tick to accept