Young Parent Request for Information Form HEAR Priority Group: Young Parents | 2027 www.accesscollege.ie

• If you wish to apply under the HEAR Priority Group for Young Parents, you must complete your online HEAR application as well as sending this form. The deadline to complete your online HEAR application is Monday 1 March 2027 at 5pm.
• To be eligible for this priority group, you must also be eligible under HEAR Criterion 1: Low Income.
• Complete all three parts of this form. Print clearly in BLOCK CAPITALS.
• A Department of Social Protection (DSP) official must complete Part 2 at your local Intreo Centre.
• Post the completed form to CAO, Tower House, Eglinton Street, Galway. Deadline: Wednesday 10 March 2027 at 5pm.

Keep a photocopy of this form. Request your proof of postage for free from An Post when you post it.

PART 1 To be completed by the HEAR applicant

PART 1 To be completed by the HEAR applicant

CAO application number Applicant name (BLOCK CAPITALS)

Applicant date of birth (DD / MM / YYYY) Applicant PPS number

Address line 1

Address line 2

City or town County Eircode

Child details

Child's full name (BLOCK CAPITALS) Child's date of birth (DD / MM / YYYY)

PART 2 To be completed by a DSP official at the local Intreo Centre

DSP official name (BLOCK CAPITALS) Job title

Name of Intreo Centre (BLOCK CAPITALS)

City or town County Eircode

Is the above-named applicant in receipt of Child Benefit? ☐ Yes ☐ No

The DSP official must confirm that the applicant is in receipt of Child Benefit. This form must be signed and stamped by the DSP official. Forms that are not signed and stamped will not be accepted.

PART 3 DSP official signature and stamp

「コ1 [F2] Signature of DSP official OFFICIAL DSP STAMP Intreo Centre

Post completed form to:

HEAR Applications 2027 | CAO, Tower House, Eglinton Street, Galway | Deadline: Wednesday 10 March 2027 at 5pm

HEAR is a college and university admissions scheme for school leavers in the Republic of Ireland who are underrepresented in Higher Education.

Young Parents qualify as a HEAR Priority Group and must also provide evidence of household income to be considered eligible. For further support visit www.accesscollege.ie