APPLICATION FORM FOR ADMISSION | Banagher College, Coláiste Na Sionna

THIS IS AN APPLICATION FORM FOR ADMISSION AND DOES NOT CONSTITUTE AN OFFER OF A PLACE, IMPLIED OR OTHERWISE

Use of the word ‘student’ throughout this Application Form does not imply that the person on whose behalf this application is being made is regarded as a having been accepted as a student of Banagher College Coláiste na Sionna.

Completed applications will be accepted from:

Friday October 18th 2024

The closing date for receipt of applications is:

Friday 08th November 2024

For office use only

Date received://

School Stamp:

Please complete all sections of the following application using BLOCK CAPITALS

SECTION 1 - PROSPECTIVE STUDENT DETAILS

Details of the young person for whom this application is being made.

First Name: *

Middle name:

Surname: *

Student Address: *

Eircode: *

PPSN: *

SECTION 2 – DETAILS OF PARENT/GUARDIAN

This section is NOT required to be completed where the student is over 18, unless s/he wishes the school to communicate with his/her parent/guardian about this application instead of directly with the student. The information is sought for the purposes of making contact about this application. If more than one name is given but the address is the same, only one letter will issue and will be addressed to both individuals.

Parent / Guardian 1

First Name: *

Prefix: *

Surname: *

Address: *

Eircode: *

Telephone no. *

Email: *

Relationship: *

Parent / Guardian 2

First Name:

Prefix:

Surname:

Address:

Eircode:

Telephone no.

Email:

Relationship:

SECTION 3 – STUDENT CODE OF BEHAVIOUR

Please confirm that the Student Code of Behaviour is acceptable to you as a parent/guardian and that you shall make all reasonable efforts to ensure compliance of same by the student if s/he secures a place in the school. Please note that the Code of Behaviour can be found at www.bccns.ie or from the school office.

Code of Behaviour Consent: *

I confirm that the Code of Behaviour for the school is acceptable to me as the student’s parent/guardian and I shall make all reasonable efforts to ensure compliance by the student if s/he secures a place in the school.

Signature: *

Type name in the space above.

SECTION 4 – SPECIAL CLASS

The special class in Banagher College Coláiste na Sionna teaches students who have one or more of the following special educational needs: Mild General Learning Disability
Please ONLY complete if you are applying for the special class.

Please confirm if this application is being made for:

The special class

IMPORTANT INFORMATION:

Please understand that it is your responsibility to inform the school of any change in contact information or circumstances relating to this application.
For information regarding how your data is processed by the school and Laois Offaly ETB, please see overleaf.
Please sign below to demonstrate that you have read and understood this information.

NOTE: Should the student receive a place in Banagher College, Coláiste na Sionna, there is no guarantee that the student will be assigned his/her selected subject choice due to resource issues and/or restrictions on the numbers of students per class.

Parent/Guardian Signature 1: *

Type name in the space above.

Date: *

Parent/Guardian Signature 2:

Type name in the space above.

Date:

OFFICE USE ONLY

Date Application Received:

Checked by:

Date entered on School Database:

Entered by:

Paragraph Text

Single Line Text

File Upload

Click or drag a file to this area to upload.

Email *

THIS IS AN APPLICATION FORM FOR ADMISSION AND DOES NOT CONSTITUTE AN OFFER OF A PLACE, IMPLIED OR OTHERWISE

For office use only

SECTION 1 - PROSPECTIVE STUDENT DETAILS

SECTION 2 – DETAILS OF PARENT/GUARDIAN

SECTION 3 – STUDENT CODE OF BEHAVIOUR

SECTION 4 – SPECIAL CLASS

IMPORTANT INFORMATION:

OFFICE USE ONLY

Data Breach Management Policy

Data Protection