FOR REFERENCE ONLY
I
application for admission
Dual BA Program between Trinity College Dublin and Columbia University DATE RECEIVED
Oce of Admissions and Educational Financing
School of General Studies, Columbia University
408 Lewisohn Hall, Mail Code 4101
2970 Broadway
New York, NY 10027
PROGRAM INFORMATION
APPLICATION DEADLINE: January 2
ENTRY TERM
Fall (September) Year _____
NAME
First (Given) Middle Last (Family) Sufx
All Previous Surnames/Maiden Names Preferred Name
BIOGRAPHICAL INFORMATION
Sex Date of Birth (Month, Day, Year) Birth City Birth State Birth Country
Marital Status Gender Pronouns
ADDRESSES
PERMANENT ADDRESS MAILING ADDRESS
Street Address Street Address
Street Address Street Address
City State Country Postal Code City State Country Postal Code
Valid From (Optional) Valid Until (Optional) Valid From (Optional) Valid Until (Optional)
EMAIL ADDRESS
TELEPHONE NUMBERS (INCLUDING +COUNTRY CODE)
Home Work Mobile
CITIZENSHIP INFORMATION
Primary Citizenship: ______________________________ Dual Citizenship: _________________________________
Residency Status: U.S. Permanent Resident Yes No Social Security Number: ____________________________
If yes, Green Card Number: ________________________ Current Visa Type: ________________________________
Personal Public Service (PPS) Number:_________________
Have you attended 5 or more years of primary and/or secondary school in the EU, in the European Economic Area, in the United Kingdom or in the Swiss
Confederation?
________________________
If you are under the age of 23, have one or both of your parents been EU tax resident for at least three of the last ve years?
Yes No
FOR REFERENCE ONLY
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application for admission
LANGUAGE PROFICIENCY
Is English your rst language? Yes No
What is your primary language? ____________________________________________________________________________________________________
Was English the primary language of instruction for your high school or secondary school? Yes No
Which languages, other than English, do you speak uently? ______________________________________________________________________________
FINANCIAL AID
Please read all nancial aid instructions carefully before answering. Financial Aid in the Dual BA Program includes grants, scholarships and/or loans. Students
who are eligible for U.S. Federal Aid will be assessed and have their aid administered by Columbia University School of General Studies for all four years of the
Dual BA Program, but scholarship funding is awarded separately by Trinity and Columbia University. If you indicate that you do not intend to apply for nancial
aid in the questions below, you will not be sent nancial aid application information.
Do you intend to apply for scholarships from Trinity College Dublin during years 1 and 2 of the Dual BA Program?
Yes No
Do you intend to apply for scholarships from Columbia University during years 3 and 4 of the Dual BA Program?
Yes No
Do you intend to apply for US Federal nancial aid for any portion of the Dual BA Program?
Yes No
PROGRAM CHOICE
Students in the Dual BA Program are able to choose one of four academic programs in which to spend their rst two years in Dublin: English Studies, European
Studies, History, or Middle Eastern and European Languages and Cultures. Please indicate which of these programs you prefer. You will be asked to elaborate on
the reasons behind these choices in the essay section. For Irish and EU applicants, this programme choice must also be reected in their CAO application.
Classics English Studies European Studies Film Studies Geoscience History History of Art and Architecture
Mathematics Middle Eastern and European Languages and Cultures Neuroscience Philosophy Religion
Please note that your choice of program does not guarantee placement. Final program assignment will be determined by the Admissions Committee and discussed
with the admitted candidate.
COURSE-SPECIFIC MODULE CHOICES
Students entering the Dual BA Program in European Studies or Middle Eastern and European Languages and Cultures (MEELC) are asked to pre-select language
(French, German, Italian, Polish, Russian, Spanish) and/or social science (Introduction to Economics, Introduction to Economic Policy, Introduction to Political
Science, Introduction to Sociology) modules for their rst year of study at Trinity College Dublin. These selections are non-binding.
______________________________________ ______________________________________ ______________________________________
FOR REFERENCE ONLY
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application for admission
EDUCATIONAL BACKGROUND
Please list and have ofcial transcripts, formal school reports from the last two completed academic years, and any previously completed national exams sent from
all all of the following schools you have previously attended or are currently attending. An ofcial transcript is dened as one sent directly to us from the issuing
school in a sealed envelope. Please do not recalculate your GPA and do not report if it is not printed on your transcript.
INSTITUTION City/State/Country Dates attended Level of Study Institution/Degree
Type (Month, Year to Month, Year) (High School, Undergraduate, Graduate)
Date Conferred or Expected Field of Study GPA (e.g., 4.0, 4.3, 5.0, 15, 100) Date Transcript Ordered
(Month, Date, Year)
INSTITUTION City/State/Country Dates attended Level of Study Institution/Degree
Type (Month, Year to Month, Year) (High School, Undergraduate, Graduate)
Date Conferred or Expected Field of Study GPA (e.g., 4.0, 4.3, 5.0, 15, 100) Date Transcript Ordered
(Month, Date, Year)
INSTITUTION City/State/Country Dates attended Level of Study Institution/Degree
Type (Month, Year to Month, Year) (High School, Undergraduate, Graduate)
Date Conferred or Expected Field of Study GPA (e.g., 4.0, 4.3, 5.0, 15, 100) Date Transcript Ordered
(Month, Date, Year)
DID YOU GET A GED?
Yes No If yes, state: _____________________ Score: _________ Date (Month, Day, Year): _____________________
DID EITHER OF YOUR PARENTS OR GUARDIANS EARN A BACHELOR’S DEGREE FROM A COLLEGE OR UNIVERSITY? Yes No
DOES YOUR HIGH SCHOOL OR SECONDARY SCHOOL HAVE A PUBLICLY AVAILBLE PROFILE DOCUMENT? THOUGH THESE ARE UNCOMMON OUTSIDE OF THE
UNITED STATES, A HIGH SCHOOL PROFILE PROVIDES SUMMARY INFORMATION ABOUT THE SCHOOL.
Yes No
COLLEGE ENTRANCE EXAMINATIONS
All self-reported scores on this page will be considered unofcial. Applicants will still need to submit ofcial scores, which must be sent directly from the testing
service to the Ofce of Admissions. The College Board ETS code number (SAT, AP, and TOEFL exam results) for the School of General Studies is 2095. For
the ACT exam, the school code is 2716.
Please note that neither AP Exam results nor international high school exams (Irish Leaving Certicate, British A-Levels, International Baccalaureate, French
Baccalaureat, etc.) can fulll the standardized testing requirement for the initial application process. Please see the Standardized Testing section of the Dual BA
Program website if you are unsure of which exam results to submit.
All students, regardless of educational background or citizenship, must submit a standardized exam result. See the Dual BA website for more information.
ACT Test Date (Month, Day, Year) Composite English Math
Reading Science Reasoning Writing English/Writing
AP EXAM Subject Test Date (Month, Day, Year) Score
Subject Test Date (Month, Day, Year) Score
FOR REFERENCE ONLY
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application for admission
Subject Test Date (Month, Day, Year) Score
CAE Overall Score Test Date (Month, Day, Year) CEFR Level
IB Subject Test Date (Month, Day, Year) Score
Subject Test Date (Month, Day, Year) Score
Subject Test Date (Month, Day, Year) Score
IELTS Test Date (Month, Day, Year) Overall Band Score Listening Reading Writing Speaking
SAT I Test Date (Month, Day, Year) Combined (CR+M+W) Critical Reading
Math Writing Essay Subscore
TOEFL Internet-based Test Test Date (Month, Day, Year) Total Score Listening Reading Writing Speaking
MINIMUM ACADEMIC QUALIFICATIONS
English Qualication Exam Date (Month, Day, Year) Grade
Mathematics Qualication Exam Date (Month, Day, Year) Grade
Foreign Language Qualication Prociency Level Exam Date (Month, Day, Year) Grade
Natural Sciences Class Qualication Level Exam Date (Month, Day, Year) Grade
CURRENT ENROLLMENT
Listing courses you are currently taking is mandatory. Please include your current grade for each course. If you have already graduated, enter “already graduated”
as your course.
FOR REFERENCE ONLY
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application for admission
APPLICANT INFORMATION
STUDENT TYPE
Please indicate your main area of academic interest during years three and four at Columbia University. This information is nonbinding.
Please list a career that you are considering pursuing after completing your education.
Have you ever applied to Columbia College, The Fu Foundation School of Engineering and Applied Science, or the School of General Studies?
Yes No If yes, please give the date(s) and the decision(s).
Date(s) (Month, Year): Decision(s):
Have you ever applied to Trinity College Dublin?
Yes No If yes, please give the date(s) and the decision(s).
Date(s) (Month, Year): Decision(s):
Applicants may not simultaneously apply to the Dual BA Program and to any other undergraduate division of Columbia University—Columbia College (CC),
or The Fu Foundation School of Engineering and Applied Science (SEAS)—nor are candidates eligible to apply to the School of General Studies, including the
Dual BA Program, if in the last three years they applied to any of these divisions and were not accepted.
Have you ever attended Columbia’s American Language Program and/or Continuing Education and Special Programs?
Yes No If yes, which division(s) and when?
Division: Date (Month, Year):
Have you ever been suspended or dismissed from any educational institution including Columbia University?
Yes No If yes, please attach explanatory note.
Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? [Note that you are not required to answer “yes” to this question,
or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise
ordered by a court to be kept condential.] Yes No If yes, please attach explanatory note.
STUDENT HOUSING
All Dual BA Program students are guaranteed access to housing during their time in the program. Trinity College Dublin offers university-approved housing close
to campus. Student housing at Columbia University is offered through University Apartment Housing.
Will you be applying for housing? Yes No
FOR OUR RECORDS
Did you attend an admissions information session before deciding to apply to the Program?
Yes No Approximate Date (Month, Date, Year): ______________
Have you conferred with any Columbia or Trinity College Dublin representative about the admissions process (e.g., admissions ofcer, coach, alumni, faculty)? ___
If yes, with whom? _____________________________________________
To what other colleges and universities are you applying? (Your answer will in no way inuence the admissions decision.)
____________________________________________________________ __________________________________________________________
____________________________________________________________ __________________________________________________________
Have you applied ED I or ED II to another institution? Yes No
How did you hear about the Dual BA Program?
College guidebook/website (which one?) ___________________________ Advertisement (where?) _________________________________________
College fair (where?) __________________________________________ Internet search/website (which one?) _______________________________
Columbia/Trinity College Dublin/Dual BA student (who?) _____________ News article (which one?) _______________________________________
Columbia alumnus (who?) ______________________________________ Other ______________________________________________________
Academic Advisor/Guidance Counselor ____________________________
application for admission II
FOR REFERENCE ONLY
VI
EXTRACURRICULAR ACTIVITIES AND WORK EXPERIENCES
Please add your extracurricular, professional, and/or volunteer experiences below. You may also attach a résumé or C.V. to your application. If you choose to submit a
résumé/C.V., the section below is optional and does not need to be completed.
ORGANIZATION NAME City State/Province Country Dates of Employment
(Month, Year to Month, Year)
Industry Description
ORGANIZATION NAME City State/Province Country Dates of Employment
(Month, Year to Month, Year)
Industry Description
ORGANIZATION NAME City State/Province Country Dates of Employment
(Month, Year to Month, Year)
Industry Description
ORGANIZATION NAME City State/Province Country Dates of Employment
(Month, Year to Month, Year)
Industry Description
ORGANIZATION NAME City State/Province Country Dates of Employment
(Month, Year to Month, Year)
Industry Description
ORGANIZATION NAME City State/Province Country Dates of Employment
(Month, Year to Month, Year)
Industry Description
ORGANIZATION NAME City State/Province Country Dates of Employment
(Month, Year to Month, Year)
Industry Description
ARE YOU A U.S. VETERAN?
Yes No
If yes, please list your branch of service:
HAVE YOU SERVED IN A FOREIGN MILITARY?
Yes No
If so, please list the country:
ARE YOU A MEMBER OF PHI THETA KAPPA?
Yes No
FOR REFERENCE ONLY
VII
FAMILY
If these lines do not permit you to present your complete family circumstances, please do so on a separate piece of paper.
HOUSEHOLD INFORMATION
Parents’ marital status (relative to each other): _______________________ If divorced, what year?_______________
With whom do you reside? (Parent 1 & 2, Parent 1, Parent 2, Legal Guardian, Independent, Spouse/Partner, Other) _______________
Are you considered nancially independent? Yes No
PARENT 1 Salutation First Name Middle Name Last Name
Former Last Name Sufx Gender
Birth City Birth State/Province Birth Country
U.S. Citizen Yes No College/University Attended Graduation Year Degree
Professional or Graduate School Attended Graduation Year Degree
Living? Yes No
MAILING ADDRESS: Street Address City State/Province Country
Postal Code Preferred Phone Type (Cell, Home, Work) Phone Number
Email Address Industry Employer Title/Position
PARENT 2 Salutation First Name Middle Name Last Name
Former Last Name Sufx Gender
Birth City Birth State/Province Birth Country
U.S. Citizen Yes No College/University Attended Graduation Year Degree
Professional or Graduate School Attended Graduation Year Degree
Living? Yes No
MAILING ADDRESS: Street Address City State/Province Country
Postal Code Preferred Phone Type (Cell, Home, Work) Phone Number
Email Address Industry Employer Title/Position
application for admission
FOR REFERENCE ONLY
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IS SOMEONE OTHER THAN A PARENT YOUR LEGAL GUARDIAN? Yes No
Relationship to You Salutation First Name Middle Name Last Name
Former Last Name Sufx Gender
Birth City Birth State/Province Birth Country
U.S. Citizen Yes No College/University Attended Graduation Year Degree
Professional or Graduate School Attended Graduation Year Degree
Living? Yes No
MAILING ADDRESS Street Address City State/Province Country
Postal Code Preferred Phone Type (Cell, Home, Work) Phone Number
Email Address Industry Employer Title/Position
SPOUSE/SIGNIFICANT OTHER Salutation First Name Middle Name Last Name
Sufx Gender
Birth City Birth State/Province Birth Country
U.S. Citizen Yes No College/University Attended Graduation Year Degree
Professional or Graduate School Attended Graduation Year Degree
Living? Yes No
Industry Employer Title/Position
DEPENDENTS OF PARENT/GUARDIAN
DEPENDENT 1 Full Name Relationship to You Age
DEPENDENT 2 Full Name Relationship to You Age
DEPENDENT 3 Full Name Relationship to You Age
EMERGENCY CONTACT INFORMATION
Name Relationship Daytime Telephone Evening Telephone Email Address
Street Address City State Country Postal Code
application for admission
FOR REFERENCE ONLY
IX
OTHER FAMILY
FAMILY MEMBERS WHO HAVE GRADUATED FROM OR ARE ATTENDING COLUMBIA UNIVERSITY OR TRINITY COLLEGE DUBLIN
NAME Relationship to You Division Degree Degree Year
NAME Relationship to You Division Degree Degree Year
NAME Relationship to You Division Degree Degree Year
EMPLOYMENT AT COLUMBIA UNIVERSITY
MEMBERS OF YOUR IMMEDIATE FAMILY WHO WORK FOR COLUMBIA UNIVERSITY OR ITS AFFILIATES
Are you an employee of Columbia University or its afliates? Yes No
If yes (Division, Title):
Do you have members of your immediate family who work for Columbia University or its afliates?
Yes No
If yes (Division, Title):
RELATIVE ONE Name Relationship to You Division Title
RELATIVE TWO Name Relationship to You Division Title
OPTIONAL PHOTOGRAPH
It would be helpful for academic advisors and admissions managers to have a headshot of you. While including a headshot is completely optional and will not
impact your application negatively should you decide not to do so, we would appreciate your submitting one with this application.
PERSONAL STATEMENT (Required)
Describe how your experiences, both personal and academic, have shaped your decision to pursue the Dual BA Program, using the following guiding ques-
tions:
• Why is an international academic experience important to you as you consider the ways in which it may inuence your future?
• How have your academic experiences prepared you for the Dual BA Program?
• What are your academic interests in, and aspirations for, the program?
Successful essays should both identify and describe specic elements of the Dual BA Program that meet your needs as a student, as well as explain how your
studies at Trinity College Dublin complement the major you intend to follow at Columbia University, and how this program is compatible with your future
aspirations. (750-1,000 words).
LETTERS OF RECOMMENDATION
Please list the names of the individuals to whom you have given the attached evaluation forms. Recommenders must use a school-afliated email account. The
admissions committee will not accept recommendation letters from personal email accounts.
Recommender 1: ______________________________________________ Recommender 2: ___________________________________________
PLEDGE
I certify that all the information I have provided in this application is complete and accurate, and I understand that submitting this application allows Trinity Col-
lege Dublin and Columbia University to share any personal and academic information that is relevant to the review of my le.
Signature Date
application for admission
Letter of Recommendation
408 LEWISOHN HALL • 2970 BROADWAY • NEW YORK, NY 10027 • 212.854.2772
To be completed by applicant before giving to recommender. Give one of these forms to each of the two recommenders you select. Ask the
evaluator to write a letter and attach it to this form. Instruct the evaluator to enclose the letter in an envelope, sign it across the seal, and return it to you.
Do not open this envelope or break the seal. Submit the sealed envelope containing your letters to the Ofce of Admissions and Educational Financing.
Applicant’s Last (Family) Name First Name Middle Name Date of Birth (mm/dd/yyyy)
Under the Family Educational Rights and Privacy Act of 1974 (Buckley Amendment), which gives registered students the right to inspect and review their educational
records, students may waive the right to see specic condential statements and letters of recommendation. In the belief that applicants, and the persons from whom they
request recommendations, may wish to preserve the condentiality of those recommendations, we are giving you an opportunity to sign one of the following statements:
I waive the right to examine this letter I do not waive the right to examine this letter
SIGNATURE DATE SIGNATURE DATE
LETTER OF RECOMMENDATION
TO BE COMPLETED BY THE ACADEMIC/PROFESSIONAL EVALUATOR
1. How long have you known the applicant?
2. In what capacity do you know the applicant?
Student Academic Advisor Employee
Intern Friend Other __________
3. How do you rank this student in comparison with the students
you have taught or worked with?
Extraordinary (One of the best I have worked with)
Exceptional (Top 5%)
Outstanding (Top 10%)
Superior (Top 15%)
Above Average (Top 25%)
Average (Top 50%)
Below Average (Lower 50% but recommended)
4. On a separate sheet or letterhead please provide an evaluation
of this applicant’s qualications for undergraduate work in a
rigorous academic program. Please compare the applicant with
others known to you. This evaluation is to be mailed to the
address above, or given to the applicant in a sealed envelope.
Please seal and sign the back ap of the envelope; the letter will be
submitted unopened by the applicant with his or her application.
The deadline for receipt of letters is January 2. Thank you.
NAME OF EVALUATOR
TITLE OF EVALUATOR
INSTITUTIONAL AFFILIATION
SIGNATURE
X
THIS PAGE WAS INTENTIONALLY LEFT BLANK.
XI
Letter of Recommendation
408 LEWISOHN HALL • 2970 BROADWAY • NEW YORK, NY 10027 • 212.854.2772
To be completed by applicant before giving to recommender. Give one of these forms to each of the two recommenders you select. Ask the
evaluator to write a letter and attach it to this form. Instruct the evaluator to enclose the letter in an envelope, sign it across the seal, and return it to you.
Do not open this envelope or break the seal. Submit the sealed envelope containing your letters to the Ofce of Admissions and Educational Financing.
Applicant’s Last (Family) Name First Name Middle Name Date of Birth (mm/dd/yyyy)
Under the Family Educational Rights and Privacy Act of 1974 (Buckley Amendment), which gives registered students the right to inspect and review their educational
records, students may waive the right to see specic condential statements and letters of recommendation. In the belief that applicants, and the persons from whom they
request recommendations, may wish to preserve the condentiality of those recommendations, we are giving you an opportunity to sign one of the following statements:
I waive the right to examine this letter I do not waive the right to examine this letter
SIGNATURE DATE SIGNATURE DATE
LETTER OF RECOMMENDATION
TO BE COMPLETED BY THE ACADEMIC/PROFESSIONAL EVALUATOR
1. How long have you known the applicant?
2. In what capacity do you know the applicant?
Student Academic Advisor Employee
Intern Friend Other __________
3. How do you rank this student in comparison with the students
you have taught or worked with?
Extraordinary (One of the best I have worked with)
Exceptional (Top 5%)
Outstanding (Top 10%)
Superior (Top 15%)
Above Average (Top 25%)
Average (Top 50%)
Below Average (Lower 50% but recommended)
4. On a separate sheet or letterhead please provide an evaluation
of this applicant’s qualications for undergraduate work in a
rigorous academic program. Please compare the applicant with
others known to you. This evaluation is to be mailed to the
address above, or given to the applicant in a sealed envelope.
Please seal and sign the back ap of the envelope; the letter will be
submitted unopened by the applicant with his or her application.
The deadline for receipt of letters is January 2. Thank you.
NAME OF EVALUATOR
TITLE OF EVALUATOR
INSTITUTIONAL AFFILIATION
SIGNATURE
XII
THIS PAGE WAS INTENTIONALLY LEFT BLANK.
XIII