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Ireland Fellows Programme – Africa – Stage 1 Application Form 2023/24

ONLY TYPED APPLICATIONS SUBMITTED BY EMAIL ARE ACCEPTABLE

The closing date for receipt of Stage 1 applications and accompanying documents is 31 July 2022.

Applications should be submitted by email to the relevant Embassy of Ireland (see page 6 of the
Guidance Note for contact details).

Before completing this Application Form, please carefully read the Guidance Note for Applicants

Have you included a scanned copy of the following documents with your application? Your
application will not be valid unless copies of these documents are included.

1. Official identification: either your passport (only the identity page is required), or other official
identification document if you do not have a passport at this time.

2. Your undergraduate degree award certificate.

3. Your undergraduate degree academic transcript. Please also include the explanation of the
grading system, where provided with your transcript or otherwise available.

Application Summary

 I am a national of       and am resident in      .

 I have       years of substantial work experience that is directly relevant to my proposed
programme(s) of study.

 I hold a bachelor’s level academic qualification from an accredited and government-recognised higher
education institution, awarded since 2011, with a final overall grade of      .

I do not already hold a qualification at master’s level or higher. I am not currently undertaking a
programme at master’s level or higher, and I am not due to start a programme at master’s level or higher
in the academic year 2023/24. 

Ireland Fellows Programme – Africa – Stage 1 Application Form 2023-24

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1. Personal information: Embassy Code No.      

Surname      
First or given name as it appears on your passport or official document      
Gender      
Nationality      
Country of residence      
Date of birth (day/month/year)    /    /     
Contact details

Phone no.      

Main email address – it is vital that we can communicate with you by email. Please provide the email address that you most
regularly check. If this is a work address, please also provide your personal email address.      

Have you ever previously applied for any of Ireland’s Fellowship Programmes? Yes No

If yes, please list year(s) in which you previously applied and indicate if you were successful:
     

For Embassy use only:      

2. Education
Please provide details of each higher education qualification you have attained.
A) Bachelor’s level qualification:
(must have been awarded by a government recognised university/college no earlier than 2010)
Name of degree University/College Dates Final overall grade.
(e.g. B.Sc. Mathematics) Include location from/to Please provide final grade
and, if available, your
GPA score and GPA scale.
                  Grade      
GPA score      
GPA Scale      
B) Other academic qualifications

Qualification and name of University/College/Institution Dates Final overall grade.

degree Include location from/to Please provide final grade
(e.g. Postgraduate Diploma in and, if available, your
Accountancy) GPA score and GPA scale.

                  Grade      

GPA score      
GPA Scale      
                  Grade      
GPA score      
GPA Scale      
                  Grade      
GPA score      
GPA Scale      

Ireland Fellows Programme – Africa – Stage 1 Application Form 2023-24

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English language test:

IELTS test results (if available) Date:    /    /      (Day/Month/Year)
Date of test: (day/month/year)
Must be dated September 2021 or later Overall score:     
Writing score:     
Reading score:     
Speaking score:     
Listening score:     
If you have the results of another English Name of test:      
language test (e.g. TOEFL), please provide Date:      
details here
Overall score:      
For Embassy use only:      

3. Work Experience: Please refer to Guidance Note for Applicants

A) Your employing organisation*      
Current Job title      
How long have you worked with this organisation?    years and    months
B) If applicable, list in chronological order any previous positions you have held with this organisation,
indicating your job title and start and finish dates (month/year).
Job title (month/year)
         /      to    /     
         /      to    /     
C) If you have previous work experience outside the organisation where you currently work, please state
your job title and start and finish dates (months/years). This may include internships - 1 year working as an
intern will be considered equivalent to 6 months’ work experience when evaluating applications. If you are
currently unemployed, please include your previous work experience here.
Employing Organisation and Job title (month/year)
         /      to    /     
         /      to    /     
         /      to    /     
D) Total number of years’ relevant work experience    years and    months
Please provide the total number of years of work
experience that is directly relevant to your proposed
programme(s) of study.

E) Please provide brief details of leadership positions you hold or have held in the past (e.g. in work, in
volunteer work, within social activism, in community organisations, as class/work representative, or college
roles).
Position (month/year)
         /      to    /     
         /      to    /     
         /      to    /     
For Embassy use only:           

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4. Master’s programme choices in Ireland:

Please ensure you have carefully read through the Directory of Eligible Programmes and the Guidance Note for Applicants
before completing this question. Programmes must be listed in order of preference.
University/college name Full programme title Programme code
Can be found on HEI master’s
programme website
1                  
2                  
3                  
For Embassy use only:      

5. Why do you wish to be considered for a Fellowship in Ireland?

The aims of the Ireland Fellows Programme are to nurture future leaders; to develop in-country capacity to achieve
national SDG goals; and to build positive relationships with Ireland. 

Please explain your motivation for applying for this Fellowship under the following headings:

a) How would the specific programmes of study in Ireland which you have chosen assist you in your career
aspirations? (80 words)

b) How would the programmes of study in Ireland help you work towards achieving your country’s national SDG
goals? (80 words)

c) How would you propose to contribute to links between your country and Ireland? (80 words)

Do not exceed the word limit.

     

For Embassy use only:      

Ireland Fellows Programme – Africa – Stage 1 Application Form 2023-24

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DECLARATION
I acknowledge that the information and documents I submit as part of my application will be shared with:

(i) the management agency for the Ireland Fellows Programme

(ii) the Irish Embassy, and
(iii) the Irish Department of Foreign Affairs

When your application form is received, we create a record in your name, which contains much of the
personal information you have supplied. This personal record is used solely in processing your candidature.
Such information held is subject to the rights and obligations set out in the Data Protection Act 2018 and the
General Data Protection Regulation (GDPR).

The Ireland Fellows Programme is fully funded by the Irish Government and is offered under the auspices of the
Department of Foreign Affairs (DFA). It aligns with the Irish Government’s commitment under Global
Ireland and the national implementation plan for the Sustainable Development Goals (SDGs), Ireland's Policy for
International Development, and Ireland's International Education Strategy.

The Department of Foreign Affairs (the Department) is committed to protecting your personal data and your
privacy. This Data Privacy Notice lets you know how, and why, we use your personal information.

The Department has identified Article 6(1)(e) of the GDPR and Section 38(1)(b) of the Data Protection Act 2018
as lawful bases for processing your personal data. Section 38(1) provides that processing of personal data is
lawful to the extent that it is necessary and proportionate for the administration of any non-statutory scheme,
programme or funds where the legal basis is a function of a controller conferred by or under an enactment or
the Constitution”. In addition to the provisions of Bunreacht na hÉireann/the Constitution of Ireland and the
International Treaties which guide Ireland’s foreign policy work, the power to collect and process data, is
bestowed to the Department by The Ministers & Secretaries Acts 1924 to 2017.

Information on your rights under the GDPR, including the contact details of the Department’s Data Protection
Officer, can be found here:
https://www.dfa.ie/media/dfa/alldfawebsitemedia/aboutus/Data-Privacy-Notice.pdf

The Department reserves the right to amend this privacy notice and an updated notice will be issued where
required.

I have read and understand the following:

We do not ask whether applicants have a criminal record at the application stage. However, applicants
should note that a criminal record may be a reason for a refusal of a visa or for entry to Ireland. If an
applicant has a query about this, they are advised to contact the relevant Irish Embassy.

I certify that all the information I have given is true, complete and accurate to the best of my knowledge.

Name      
Date:     /       /       (Day/Month/Year)

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Where did you hear about the Ireland Fellows Programme?

Social Media (please specify Facebook, Twitter, WhatsApp…)      

University/College
Through your Employer
Word of Mouth
Radio/Newspaper
Government Source (please specify)      
Other (please specify)      

Ireland Fellows Programme – Africa – Stage 1 Application Form 2023-24