NUI Matriculation Exemption Form 6

Exemption Application Form - Irish and/or a Third Language

You are completing this form because you have a hearing impairment or other disability that is affecting your schoolwork. You have a copy of the professional diagnosis, a declaration by the school principal and a completed copy of the NUI certification form.

If you have a Department of Education exemption please consider applying under Ground 4 instead.

You must complete all items marked with a red asterisk * below.

First Name *

Surname *

Address *

Date of birth *

A valid Date of Birth should be entered in the European Date format of dd-mm-yyyy.

Telephone Number *

Main Email Address *

Confirm Main Email *

Alternative Email Address

An applicant may wish to include an email address of a parent/guardian. This email address will be included on any correspondence from NUI.

Confirm Alternative Email

Exemptions for which you wish to apply *

Please provide a rationale for presenting another language while seeking an exemption from Irish *

Prospective Year of Entry to University *

Current CAO Application Number

Your CAO Number is an eight digit number and should start with the year of application. i.e. If applying to attend college in 2024 your CAO number should start with 24. This is not the same as your Leaving Certificate examination number. You can submit your NUI exemption application at any point in Senior Cycle, but applicants who submit in advance of having a CAO number will need to advise NUI of their CAO number (once received) for the exemption to be linked to their CAO application.

Leaving Certificate Year *

Leaving Certificate Subjects & Levels

1. *

NUI ask applicants for their Leaving Certificate subjects to ensure they will have the necessary requirement for matriculation purposes (minimum requirement 6 subjects with two at higher level).

2. *

3. *

4. *

5. *

6. *

7. *

8. *

Attach a copy of your report from a relevant Professional or Psychologist in pdf or jpg format. (GP certification is not acceptable) *

Attach a copy of the NUI Certification form signed by a relevant Professional or Psychologist in pdf or jpg format. *

Attach the Declaration from your school Principal in pdf or jpg format *

Your Comments