Undergrad Advanced Entry Application Form Section 1: ProgrammeCourse Name(Required)Level of Programme(Required) Level 6 Level 7 Level 8 Year of Entry(Required) Year 2 Year 3 Year 4 Campus(Required) Moylish LSAD Clare Street Thurles Clonmel Ennis Section 2: Personal DetailsFirst Name(Required)Surname(Required)Address Line 1(Required)Address Line 2Town/City(Required)County(Required)Eircode(Required)Preferred Email Address(Required) Mobile Number(Required)Nationality(Required)Country of Birth(Required)PPS NumberDate of Birth(Required) DD dash MM dash YYYY Gender(Required) Male Female Non-Binary Prefer not to say Previous/Current TUS Student Number (if applicable)Have you been living in an EU country for 3 of the last 5 years?(Required) Yes No Section 3: Details of Previous Third Level Study(Details of study at Institutes of Technology, TU, Universities, Colleges of Further Education, SOLAS Apprenticeship, Etc.). Transcripts of qualifications obtained prior to the current year MUST be submitted with this application form. Applicants taking current year examinations should write ‘pending’ in the results section, submit a list of examination subjects being taken and must arrange to have these results forwarded to the Midwest admissions office on or before 16th June.Name & Address of College Institution(Required)Full Tiltle of Programme Studied(Required)Year (From-To)(Required)Results (if known)Upload your transcripts here. (TUS STUDENTS: If you are a current or past TUS student, you do not need to provide a copy of your results. EXTERNAL STUDENTS: External applicants should attach their academic transcript, including their overall results.)Max. file size: 10 MB. Section 4: Part Time Study OptionDo you wish to apply to study part-time during the day via ACCS?(Required) Yes No If yes, an additional ACCS form will be needed to be completed if your application is approved to determine modules/subjects to be undertaken.Section 5: Recognition of Prior Learning (RPL)Do you wish to have your prior learning considered as part of your application?(Required) Yes No Section 6: Special Needs/ Medical Conditions/DisabilityAre there are any special circumstances, disability, or medical condition you would like the TUS to know about?(Required) Yes No If yes, please email disability.midwest@tus.ie to discuss your support requirement.Section 7: DeclarationI certify that the information I have provided on this form is accurate to the best of my knowledge. I agree that the University has authority to seek information from other Universities/Institutes to evaluate information provided on this form.(Required) Yes