Suffolk University Law School • 120 Tremont Street • Boston, MA 02108-4977
T 617 573-8160 • f 617 723-6114 • lcove@suffolk.edu

APPLICATION INSTRUCTIONS

  • This form and the Consent and Release form must be completed fully. Please use block letters.
  • All applications, regardless of when filed, must be accompanied by $235 non-refundable Galway Deposit, $200 of this Deposit will be applied toward Housing.
  • Return this completed form, the Consent and Release form and Galway Deposit to: Office of Academic Services, Galway 2016, Suffolk University Law School, 120 Tremont Street, Boston, MA 02108-4977

Last Name

First Name

Middle/Maiden Name

PRESENT MAILING ADDRESS

Street

City

State

Zip Code

Phone (include area code)

Email Address

Student ID Number (Suffolk Students Only)

PERMANENT MAILING ADDRESS, IF DIFFERENT FROM ABOVE

Street

City

State

Zip Code

Phone (include area code)

Email Address

IMPORTANT

Gender

Are you a US Citizen?

yes no

Date of Birth (month/day/year)

SELECT YOUR COURSES

The following courses will be offered during the Galway Summer 2017 program.

Constitutional Law: SELECTED TOPICS  TBA 1.5 Credits
Emerging Issues for US Information Technology Companies operating in Ireland       Rustad, M. 1.5 Credits

TUITION AND ACCOMMODATIONS PAYMENT

A non-refundable $235 application fee is due with your application by March 1, 2017.
 Galway Deposit $235.00 ($200 will be applied toward Housing)
Tuition (3 credit hours) $3,450.00
Housing $900.00
Activities Fee $150.00
Administrative Fee $100.00
* ON-CALL International Travel Fee $60.00
Total $4,695.00

* All students studying abroad are required to register with ON-CALL International, a security and travel assistance program.

HOUSING APPLICATION

I hereby apply for a student room through the National University of Ireland at Galway (NUI Galway).

I hereby apply for admission to Suffolk University 2017 Summer Law Program in Galway and make the above statements as the basis for my application. If accepted as a student, I agree to cooperate with the faculty in maintaining high standards of scholarship and conduct.



Signature____________________________________________________________________


Date

EMERGENCY CONTACT INFORMATION

Please include information regarding the person you wish to be notified in case of emergency:

Name

Relationship to Applicant

Street

City

State

Zip Code

Apt.#

Country

TELEPHONE NUMBERS

Please include (area code) and, if necessary, (country code)

Home:

Office

Mobile

Email

Facsimile