Pobalscoil Rosmini Adult Education
Course Enrolment Form
Term:_________________________________________________________________________________________________
Name of Course:________________________________________________________________________________________
Course Code:___________________________________________________________________________________________
Name of Student:________________________________________________________________________________________
Address:_______________________________________________________________________________________________
Mobile:________________________________________________________________________________________________
Home Phone:____________________________________________________________________________________________
Email:_________________________________________________________________________________________________
Fee Enclosed:___________________________________________________________________________________________
How did you hear about Pobalscoil Rosmini Adult Education:_____________________________________________________
(Please print and return to " Adult Education Office, Pobalscoil Rosmini,
Gracepark Road, Drumcondra, Dublin 9")