Intention to apply form

St. Patrick’s N.S. , Curtlestown, Enniskerry , Co.Wicklow. Ph/Fax: 01-2861649 E-mail: curtlestown@eircom.net

PLEASE FILL IN ALL SECTIONS

THE COMPLETION OF THIS FORM DOES NOT CONSTITUTE AN OFFER OF A PLACE IN THIS SCHOOL.

PLEASE CAREFULLY REVIEW THE TERMS AND CONDITIONS ON THE REVERSE OF THIS FORM AND SIGN ACCORDINGLY.

Childs’s Name(s) __________________________________________

Date of Birth: ______

Proposed year of Entry: _________

Proposed Class: _

Previous Primary Schools attended, including Special Schools, (if applicable):

School Name: ________________ Principal: ______________

Contact Number: ________ Present Class (if applicable): _____

Parent/Guardian Name: _______________

Phone No. (H): ____________ (W) ______________________________

Address: __________________

e-mail: _________________ ______________

Do you wish to be contacted by email? Yes No

Parent/Guardian Name: ______________

Phone No. (H): _____________ (W): ___________

Address: _________________

___________________

e-mail: _________________

Do you wish to be contacted by email? Yes No

Date of Application: ______________

Please read terms and conditions and sign declaration below

TERMS AND CONDITIONS – PLEASE READ CAREFULLY, COMPLETE WHERE RELEVANT, AND SIGN TO CONFIRM YOUR ACCEPTANCE.

This is not an application form and does not form part of the selection process. The school will make a record of parents wishing to enrol their child/ren for no other purpose than being in a position to post out application forms at the appropriate time.
I/We wish to give notice our intention to apply for enrolment in respect of __________ applicant pupil to St Patrick’s National School for term ____ in the school year __ in accordance with the foregoing information and request that an application form be sent to me/us at the appropriate time.
I/We understand that this notification places the applicant pupil on a list of those requiring enrolment application for the stated term and year. I/We understand that this notification does not offer any preferment to the applicant pupil and does not guarantee any place for him/her either for the term and year requested or for any other term or year.
I/We understand that it our responsibility to communicate, in writing, to the school any change in our correspondence address.
Data Protection: This Intention to Apply Form will be kept in a secure file in St Patrick’s National School office and will be used for no other purpose than that stated above. The information included in this form will only be accessed by relevant and authorised staff and Board of Management members.
I have read and understand the Enrolment Policy document and have been given the opportunity, by St Patrick’s National School, to have any points which I require clarified by the school. I also understand that the school’s Enrolment Policy is subject to regular amendment and that the policy current at the time of completion of a full Application Form during the year of my child’s proposed entry to St Patrick’s National School will be that which governs the allocation of places within the school for that school year.

Signature of Parent/Guardian:____________________________________

Signature of Parent/Guardian: ___________________________________

For Office Use Only Date Application Received