Broad Curriculum Language Module Application Form 2011/12

The data collected in this form is used for the sole purpose of facilitating the application to be included on Broad Curriculum cross-faculty modules and is held for this purpose by the Centre for Language and Communication Studies (CLCS).

Section 1: Personal Details
Student Number:
Last Name:
First Name:
Email address: (Please use your TCD email address)
Section 2: Faculty/Course Details
Faculty:
Degree Course:

Section 3: BC Module Details (students may not take a language module offered by their own discipline)
Preference 1:
Preference 2: (if you are not eligible to take your 1st preference you will be registered for your 2nd preference)
Preference 3 (if you are not eligible to take your 1st and 2nd preferences you will be registered for your 3rd preference)

If you are required under your degree programme to take a second Broad Curriculum language module please complete this section:
Preference 1:
Preference 2: (if you are not eligible to take your 1st preference you will be registered for your 2nd preference)
Preference 3: (if you are not eligible to take your 1st and 2nd preferences you will be registered for your 3rd preference)

Please note that: 1. A pass at Leaving Certificate (or equivalent) is required to enrol in non-beginner language modules (B1/B2 levels). 2. All sections must be completed in order to process your application. 3. Failure to complete your form correctly may delay your application considerably.

Trinity College Dublin

Broad Curriculum Language Module Application Form 2011/12