APPLICATION FOR ENROLMENT
(Please complete in block capitals)
Family Name First Names
_______________________________________________________________________
Home Address
___________________________________________________________________________
Home Phone Number
___________________________________________________________________________
Sex (M/F) Religion PPS Number
___________________________________________________________________________
Date of Birth Nationality
___________________________________________________________________________
Number of children in Family Position in Family
___________________________________________________________________________
Number of other children in family attending this School
___________________________________________________________________________
Name and Address of Previous School
___________________________________________________________________________
Father’s Name Work Phone Number
________________ ____________________
Mother’s Name Work Phone Number
________________ ____________________
Emergency Contact Phone Numbers
e.g. childminder, friend, relative
___________________________________________________________________________
Known medical conditions identified in your child (e.g. asthma, diabetes, epilepsy, allergy, coeliac, difficulties with eyesight, hearing, co-ordination, speech, other). Please supply details in the case of any of the above.
___________________________________________________________________________
Family Doctor Phone Number
___________________________________________________________________________
Address____________________________________________________________________
Note: If there is any other information i.e. disabilities or special education needs, about your child/family, which may be relevant to teacher/school, please include it in the space below. The information on this page is only for professional reasons and will be treated with respect and confidentiality.
___________________________________________________________________________
___________________________________________________________________________
If any of the above information changes, we would appreciate if you would let us know at once.
PERMISSION TO LEAVE SCHOOL DURING BREAKS
I WANT TO BE ALLOWED TO LEAVE THE SCHOOL AT BREAK TIMES.
- OR -
I DO NOT WANT TO LEAVE SCHOOL AT BREAK TIMES AND I AGREED TO INSIST ON THIS.
Please attach a copy of your child’s Birth Certificate to this Application Form and return as soon as possible.
I/We accept a place for my/our child in Sancta Maria College and agreed to abide by the school policies and rules.
Signatures of parents/guardians:
_____________________________________________________________________
_____________________________________________________________________
Date:
_______________
Sancta Maria College is a Data Controller under the Data Protection Acts 1998 and 2003. Personal data supplied on the enrolment form will be used for the purposes of student enrolment, registration, administration, child welfare and to fulfil any other legal obligations. While the information provided will generally be treated as confidential to the school, from time to time it may be necessary for the school to exchange personal data on a confidential basis with other bodies including the Department of Education and Skills, Department of Social and Family Affairs, An Garda Siochána, the Health Service Executive, National Educational Welfare Board. Contact details will also be used to notify you of school events and activities.
The school relies on parents/guardians to provide us with accurate and complete information and to update us in relation to any change in the information provided. You should write to the Principal should you with to update or access your child’s personal data.
Please see our school website at www.sanctamaria.ie for a copy of a notice to parents, guardians and students over 18 from the Department of Education and Skills outlining how personal data of students in this school is returned to the Department of Education and Skills, and how this data is fairly processed and in compliance with the Data Protection Acts 1988 and 2003. |