Patch Application
Thank you for your interest in Patch!  Applications are now closed for our 2019 Summer programme.  However, this application can still be filled out by anyone interested in sharing their details with us for future events.

This application should take no longer than 45 minutes to complete.

If you start an application, please finish it, regardless of how you feel it's going!  We want to hear from you.

If you have any questions or thoughts, email tommccarthyprojects@gmail.com
이메일 *
Patch runs early July to late August.  Please confirm that you’ll be available to attend.  It’s ok if you’re away for a short period. *
First Name *
Last Name *
Address - Town, County *
Date of Birth *
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MM
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DD
Describe your professional status - school, college or employer name.  If you're a student please include your year. *
Please tell us about yourself in 100 words *
What are some things you would like to work on this Summer?  Take an expansive view!  (100 Words) *
Briefly describe one major challenge you have faced, and how you overcame it. *
Tell us about something you're good at - Briefly! *
Please share any achievements, projects, awards. *
Please provide contact information for a prospective referee. *
We may use this information to learn more about you.
How did you learn about Patch?  If someone told you about it, please include their name. *
Optional - Is there anybody you'd nominate for  Patch?  Tell us who and briefly, why.
Think of somebody you'd be most excited to take part in Patch with.
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