THE LEINSTER SCHOOL OF MUSIC & DRAMA
COURSES IN GCD & GCC
How to find us:
SECTION ONE - PERSONAL DETAILS
Higher Diploma in Arts in Music Education HETAC Level 8
PLEASE USE BLOCK CAPITALS ADDRESS
SURNAME
TEL. (WORK)
Certificate in Music Teaching 40 credits – HETAC
TEL. (HOME)
DOB
(Licentiate of The Leinster School of Music & Drama)
(MOBILE)
MALE
FIRST NAME
� FEMALE
�
Certificate in Music Teaching 20 credits – HETAC
SECTION TWO - COURSE CHOICE
(Associate of The Leinster School of Music & Drama)
COURSE TITLE COMMENCEMENT DATE
LOCATION
Cork
AVAILABILITY
Day
MODE OF DELIVERY (Higher Diploma only) �
Part-time
Courses can be paid for by giro, cheque, bank draft or credit card. Griffith College discourages the payment of fees by Evening � cash. Please tick the method of your choice and complete Full-time the rest of the details as appropriate. Dublin
PLEASE INDICATE HOW YOU FIRST BECAME AWARE OF THE LEINSTER SCHOOL OF MUSIC & DRAMA PROGRAMMES Radio �
Newspaper
Friends/Family
Work
Internet
DUBLIN
CORK
Griffith College Cork, Cove street, Sullivan’s Quay, Cork Phone: (021) 450 7027
The Leinster School of Music & Drama Griffith College Campus South Circular Road, Dublin 8 Phone: (01) 415 0466 / 7
THE LEINSTER SCHOOL OF MUSIC & DRAMA
Other �
PAYMENT METHOD Cheque, Postal Order or Bankers Draft
Credit Card (Access/Visa/Mastercard) ADDRESS
CARD HOLDER’S NAME
CARD NO
PLEASE DEBIT MY CARD
E
CARD HOLDER’S SIGNATURE
CERTIFICATION
TITLE OF DEGREE
MUSIC PERFORMANCE GRADE
EXAM BOARD
DATE AWARDED
EXAM BOARD
DATE AWARDED
I certify that the information given above is correct and I hereby undertake to comply with all regulations of The Leinster School of Music & Drama. I also accept that the LSMD reserves the right to change any of the details given in any course brochure and that the course commencement is dependent on student demand. The course fee will not be refunded once the course has started.
SIGNATURE
Griffith College Campus South Circular Road Dublin 8
DATE AWARDED
AWARDING BODY
GRIFFITH COLLEGE
Applicants should complete the application form (available over) indicating their chosen programme, mode and location of delivery and forward to:
The Leinster School of Music & Drama
Postgraduates must supply an original certified copy of final exam results. Original copies of certification for music performance and theory examinations must be supplied.
MUSIC THEORY GRADE
A CONSTITUENT SCHOOL OF
HOW TO APPLY:
EXPIRY DATE:
Phone: Dublin (01) 415 0466 / 7 Phone: Cork (021) 450 7027 Email:
leinster.school@gcd.ie
Website: www.gcd.ie/lsmd
DATE
ESTABLISHED 1904
DUBLIN • CORK
ESTABLISHED 1904