Application for Admission to Carbury N.S

School Year 2024-2025

Please note that this form is for application purposes only. The information provided will be used to allocate available places in accordance with the School’s Admission Policy/Annual Admission Notice (www.carburyschool.com).

General Information on Child

1. First Name: *

2. Surname: *

3. PPS Number:

4. Date of Birth: *

5. Sex: *

6. Home Address (including Eircode): *

7. Class Being Applied For: *

8. Religious Denomination: *

* A letter from the relevant Church leader or the signature and stamp of the relevant Church leader on the application form or a baptismal record confirming, that the Applicant Student is a member of the minority religion. This can be emailed to info@carburyschool.com or sent by post.

9. Siblings in Carbury School: *

Yes

10. If yes, please state name(s) of siblings and current class:

General Information on Parent(s)/Guardian(s)

Parent/Guardian 1:

11. Name: *

12. Address (if different from child's): *

13. Mobile number: *

14. Email Address: *

Parent/Guardian 2:

15. Name:

16. Address (if different from child's):

17. Mobile number:

18. Email Address:

This Application MUST be accompanied by a copy of your child's birth certificate. This can be emailed to info@carburyschool.com or sent by post.

Previous Primary School (if applicable)

19. Child's Current School:

20. School's Address:

21. Current Class/Class Completed:

Declaration

I/We confirm that the Code of Behaviour of the school is acceptable I/we shall make all reasonable efforts to ensure compliance with such code by the student.

I/We being the Parent(s)/Guardian(s) of the applicant do hereby confirm that the above information is true and accurate and I/we consent to its use as described.

22. Parent/Guardian's Signature: *

23. Date: *

YYYY

24. Parent/Guardian's Signature:

25. Date:

YYYY

Data Privacy Statement

The information provided on this form will be used by Carbury N.S. to apply the selection criteria for enrolment and to allocate school places in accordance with the School’s Admission Policy and the School’s Annual Admission Notice.

Where a pupil is admitted to the school, the information will be retained on the pupil’s file.

On acceptance of an offer of admission, this information will be entered in the School Administration System, Aladdin, and will be uploaded to the Primary Online Database. The Primary Online Database (POD) is a nationwide individualised database of primary school pupils, hosted by the Department of Education and Skills.

In the event of oversubscription, a waiting list of students whose applications for admission to Carbury N.S. were unsuccessful due to the school being oversubscribed will be compiled, and will remain valid for the school year in which admission is being sought (See Admission Policy).

Where a child’s name is placed on a waiting list, and the child is not admitted to the school, the information provided on this form will be retained for the duration of the school year and will be securely destroyed thereafter.

Section 66(6) of the Education (Admission to Schools) Act 2018 allows for the sharing of certain information between schools in order to facilitate the efficient admission of students. The information which may be provided to a patron or another Board of Management for this purpose may include all or any of the following:

(i) the date on which an application for admission was received by the school;

(ii) the date on which an offer of admission was made by the school;

(iii) the date on which an offer of admission was accepted by an applicant;

(iv) a student’s personal details including his or her name, address, date of birth and personal public service number (within the meaning of section 262 of the Social Welfare Consolidation Act 2005).

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