St. Brendan's Community School

Application for Enrolment

Student details
Details of Parents / Guardians

(Only complete below if different than student’s address)

Other contact in case of emergency

Contact Details for Legal Guardian or Foster Parent (If relevant)
Medical Details
Other Information
Educational Details (All information given will be treated in the strictest of confidence.)
All students must do Irish unless they have an Official Exemption which gives the date granted and the reason why it was granted.
Family Information
Consents
Permission to receive urgent information by text message:

I/we will attend all meetings/virtual meetings during 1st year for the benefit of my/our child:

Name and address may be made available to outside agencies for Educational Research or Public Health purposes:

I/we consent for my/our son/daughter’s image to be used in photographs and video for promotional purposes by the school and external agencies eg: Local and National press, Conferences which the school presents at, Social Media, School website, etc:

I/we give consent to screening/diagnostic tests being administered during my/our son/daughter’s time in school to identify and support their learning needs:

The school offers an Educational counselling service, if you do not wish for your son/daughter to participate in any aspect of the program please indicate below which aspects you do not wish them to receive over their time in St. Brendan’s Community School.:


The school offers a Career counselling service, if you do not wish for your son/daughter to participate in any aspect of the program please indicate below which aspects you do not wish them to receive over their time in St. Brendan’s Community School.:


The school offers a Personal counselling service, if you do not wish for your son/daughter to participate in any aspect of the program please indicate below which aspects you do not wish them to receive over their time in St. Brendan’s Community School.:

Certain sensitive data which the Department requests Post Primary schools to furnish via the “Annual Post-Primary School October Returns/Examination entries” process requires your written consent for the school to record this information and for the school to forward this information to the Department for the purposes as outlined in Circular 47/2010 – a copy of which is available on www.education.ie. I/we give my/our consent to this data being forwarded to the Department of Education and Skills:

I/we give our/my consent to the Learning Support and Guidance Departments from St. Brendan’s Community School to collect information, both written and verbal, from my child’s primary school and to discuss contents with SENO if necessary. I/we give our/my consent to the Learning Support and Guidance Departments from St. Brendan’s Community School to receive copies of any professional reports concerning my child’s education and development, provided by the primary school and to discuss contents with SENO if necessary:
Confirmation of application
By filling in this application I/we wish to confirm our intention to enroll student named on this form in St. Brendan’s Community School for the School Year as indicated. I/we further agree to accept the Admissions Policy, Positive Code of Behaviour and Uniform Policy. I/we confirm I/we have read same and the Misson Statement on this school website. I/we give an undertaking that my son/daughter will abide by the Rules and Regulations as set down in the Positive Code of Behaviour
Checklist, please forward the following
  • Birth Certificate – copy
  • Recent passport sized photo (can be printed off mobile phone).
  • Irish Exemption form – if applicable
  • Psychological or other reports – if applicable.

Cappaneale, Birr, Co. Offaly
057 912 0510
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