Flexible Learning Registration - Midwest Campuses

Registration – FL Midwest Open

Phone

This field is for validation purposes and should be left unchanged.

Programme(Required)

First Name(Required)

Last Name(Required)

Email* (Please ensure inbox is accessible and monitored regularly)(Required)

Mobile(Required)

Home Address Line 1(Required)

Home Address Line 2

Town/City(Required)

County(Required)

Eircode(Required)

Date of Birth(Required)

PPS Number(Required)

Gender(Required)

Nationality(Required)

Citizenship(Required)

Previous LIT/TUS Student ID Number (optional)

Current CV Upload(Required)

Max. file size: 140 MB.

Please upload a copy of your CV showing relevant social care employment and experiece.

Special Needs/Medical Conditions/Disability(Required)

Yes

If yes, please email disability.midwest@tus.ie or phone 061-293112 to discuss your support requirements. Thank you.

Please include any further information relevant to your application (eg. Work experience/qualification etc) (Max 150 words)