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About Us
Accommodation
CIAA
Overview
CIAA: Nurturing Young Irish America
Safety
FAQ’s
THE PROGRAM
Itinerary 2024
Day Trips
Modules
Program Views and Images
Elite Education Ireland
APPLICATION & FEES
Application and fees
Balance payment
Courses
Info
Media
Press
Videos & Radio
Contact Us
Testimonials
Lookback
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Home
About Us
Accommodation
CIAA
Overview
CIAA: Nurturing Young Irish America
Safety
FAQ’s
THE PROGRAM
Itinerary 2024
Day Trips
Modules
Program Views and Images
Elite Education Ireland
APPLICATION & FEES
Application and fees
Balance payment
Courses
Info
Media
Press
Videos & Radio
Contact Us
Testimonials
Lookback
Menu
Home
About Us
Accommodation
CIAA
Overview
CIAA: Nurturing Young Irish America
Safety
FAQ’s
THE PROGRAM
Itinerary 2024
Day Trips
Modules
Program Views and Images
Elite Education Ireland
APPLICATION & FEES
Application and fees
Balance payment
Courses
Info
Media
Press
Videos & Radio
Contact Us
Testimonials
Lookback
€
0
0
Basket
Search
Search
Close this search box.
Application & Fees
Personal Details
First Name (as it appears on passport):
(Required)
Middle Name (as it appears on passport):
Last Name (as it appears on passport):
(Required)
Date of Birth
(Required)
DD slash MM slash YYYY
Country of Birth
(Required)
Nationality
(Required)
Are you of Irish descent?
(Required)
Yes
No
Generation
1st
2nd
3rd
Other
Permanent Address
(Required)
Email
(Required)
Cell Phone
High School Details
High School Name
(Required)
High School Address
(Required)
Start Date
(Required)
DD slash MM slash YYYY
Current Grade
(Required)
Expected Graduation Date
(Required)
DD slash MM slash YYYY
Cumulative GPA
(Required)
Have you ever been subject to serious disciplinary actions through your school? If yes, give details
Medical Conditions {if any}
Parent / Guardian Details
Parent / Guardian 1 Name
(Required)
Address (if different to child)
Email
(Required)
Cell Phone
(Required)
Parent / Guardian 2 Name
Address (if different to child)
Email
Cell Phone
How did you hear about Celtic Irish American Academy?
Payment
Please choose payment amount mode
(Required)
Predefined Amount
Custom Amount
Which payment will you be making with this application
(Required)
Deposit of 0
Deposit of $1,000
Full Amount of $3,000
Price
(Required)
Payable Now
Untitled
Stripe
Bank Transfer / Cheque
STRIPE: After you click Submit Application your payment with the credit card is processing. We do not store any credit card details on our website. Never send credit cards by email.
BANK TRANSFER/CHEQUE: After you click Submit Application we will email you our Bank Details / Cheque Details so you may make a bank transfer. Note that transfers can take 7 working days. A place on the course is not confirmed until full payment is received by us.
Credit Card
(Required)
Card Details
Cardholder Name
Consent
(Required)
I agree to share my information with relevant CIAA emplyees and attest that the above information is true and accurate to the best of my knowledge
(Required)