Gaffney and Mulleady Scholarship Application Form CompanyThis field is for validation purposes and should be left unchanged.About YouYour Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY GenderFemaleMaleOtherRather not sayPermanent Address Street Address Address Line 2 City Eircode Your Email Address(Required) Email Address Confirm Email Address Home telephoneMobile(Required)Secondary contact informationThis contact information is required and will be used in the event we are unable to reach the applicant using the primary contact information above. Name(Required) First Last Your Email Address(Required) Email Address Confirm Email Address Mobile(Required)Relationship to applicant(Required)EducationName of current secondary school:School address:Name of third level course applied for:CAO course code:Name of third level institution:Personal StatementInformation in this section will be evaluated by scholarship adjudication panel. Outline why you have chosen the specific third level course indicated above, what your study and career goals are and why you believe you should receive the scholarship.Personal statement(Required)Statement of achievementsInformation in this section will be evaluated by the scholarship adjudication panel. Please outline your academic honours, achievements, recognition and extra curricular activities, which demonstrate leadership, community involvement and uniqueness. Extra curricular involvement can include all school sponsored activities (i.e. club, sports teams, choir), as well as other community activities such as volunteer work. You may also list part-time employment, if applicable.Statement of Achievments(Required)
