Module Selection for Study Abroad Students 2023/24

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First Name

Last Name

Email Address

We will use this email address to communicate with you

Date of Birth

Preferred Stream of Study at Dublin City University

You must only select one option


	Humanities and Social Science
	Business
	Science and Health
	Engineering and Computing
	Institute of Education

Name of Partner University

Name of your Home University

Do you have a disability, impairment or long-term medical condition which may affect your studies?

Yes

Module Choice 1

Module Choice 2

Module Choice 3

Module Choice 4

Module Choice 5

Module Choice 6

Module Choice 7 (Full Year / Semester 2 Only)

Module Choice 8(Full Year / Semester 2 Only)

Module Choice 9(Full Year / Semester 2 Only)

Module Choice 10 (Full Year / Semester 2 Only)

Module Choice 11 (Full Year / Semester 2 Only)

Module Choice 12 (Full Year / Semester 2 Only)

Personal Declaration and Data Protection Statement

I hereby confirm that the information provided is true and I have completed the form to the best of my ability. I also confirm that all copies of transcripts and other official documents are authentic and have not been falsified in any way. I understand that I am bound by Dublin City Universy's regulations.


	I agree with the above statement
	I have read and understand the Data Protection Statement

Protection Statement - I am over 18 years of age