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St. Oliver Plunkett N.S. Blackrock, Co. Louth | +353 42 9321598 | office@blackrockns.ie
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Principal Mrs C Dempsey & Deputy Principal Mr C Clune
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Admission Form
admin
2022-11-25T11:44:42+00:00
Admission Form
Important – If any of the following fields are not applicable to you – please mark as N/A
Admission Form
This is an application form ONLY and admission is not guaranteed until the form is processed and a confirmation has been sent by the school.
Childs Details
If you do not want to fill in a field then mark as "NOT APPLICABLE" or "N/A"
Child Name
(Required)
Forname
Surname
Gender
(Required)
Not Specified
Male
Female
Date Of Birth
(Required)
DD slash MM slash YYYY
PPSN Number
(Required)
NationalIty
(Required)
Religion
(Required)
Ethnic/Cultural Background
(Required)
Home Address
(Required)
Mother Maiden Name
(Required)
Parents / Guardian - 1 Details
Name
(Required)
Forname
Surname
Relationship To Child
(Required)
Mobile Number
(Required)
Please mark as N/A if not available
Landline Number
Occupation
(Required)
Email
(Required)
If you do not have an email - Enter noemail@domain.com
Address
(if different from above)
Parents / Guardian - 2 Details
If you do not want to fill in a field then mark as "NOT APPLICABLE" or "N/A"
Name
(Required)
Forname
Surname
Relationship To Child
(Required)
Mobile Number
(Required)
Please mark as N/A if not available
Landline Number
Occupation
(Required)
Email
(Required)
If you do not have an email - Enter noemail@domain.com
Address
(if different from above)
Additional Info
If you do not want to fill in a field then mark as "NOT APPLICABLE" or "N/A"
Siblings Names - Add if a pupil or a past pupil in the schools
(Required)
Please mark as N/A if not applicable
Pre Schools or Other Schools Attended
(Required)
Emergency Info - If different from Parents
If you do not want to fill in a field then mark as "NOT APPLICABLE" or "N/A"
Contact Person Name
(Required)
First
Last
Phone
(Required)
Relationship to Child
(Required)
GP Name and Tel No
(Required)
Permissions and Wellbeing
If you do not want to fill in a field then mark as "NOT APPLICABLE" or "N/A"
Do you give permission for your child to be taken directly to hospital in case of serious injury or accident?
(Required)
YES
NO
Do you give permission for your child to take part in the R.S.E and Stay Safe programmes?
(Required)
YES
NO
See https://www.pdst.ie/staysafeparents
Do you give permission for the school to advise the Department of Education (DES) through the pupil online database (POD) of your childs religion and ethnic/cultural background?
(Required)
YES
NO
The above information is collected by the DES for statistical purposed and to gather information on the diversity in the school.
Is there any Legal Order under Family Law that currently exists that the school should be made aware of?
(Required)
YES
NO
Document Upload required if answer is "YES"
Legal Order Documents
Max. file size: 20 MB.
Do you give permission for your child to be photographed for school projects, local newspapers and school related activities?
(Required)
YES
NO
Do you give permission for your child’s photograph and or work to be used on the schools website?
(Required)
YES
NO
Annually the school is asked to provide information to the HSE to facilitate their work regarding immunisations, sight & hearing tests and dental appointments. Do you give permission for your childs details to be made available?
(Required)
YES
NO
Does your child attend the Early Intervention services?
(Required)
YES
NO
Document Upload required if answer is "YES"
Early Intervention Report
Max. file size: 20 MB.
Has your child ever had a psychological assessment?
(Required)
YES
NO
Document Upload required if answer is "YES"
Psychological Report
Max. file size: 20 MB.
Has your child ever had a a speech and language assessment?
(Required)
YES
NO
Document Upload required if answer is "YES"
Speech Report
Max. file size: 20 MB.
Has your child any other health issues we need to be aware of?
(Required)
eg allergies, epilepsy, diabetes, asthma, fainting, etc
Does your child have any difficulties with hearing?
(Required)
YES
NO
Does your child have any difficulties with speech?
(Required)
YES
NO
Does your child have any difficulties with vision?
(Required)
YES
NO
Does your child have any issues socially or behavioural that the school should know about?
(Required)
YES
NO
Is there any further information the school should be aware of?
Documents Upload
Upload documents where available - photo or scanned versions.
Birth Certificate
Max. file size: 20 MB.
A birth cert is REQUIRED but may be provided in paper or emailed separately.
Consent
(Required)
I agree to the admissions policy
We acknowledge that we have read and accept St. Oliver Plunkett N.S. Code of Behaviour and School Rules. We will co-operate with the staff of St. Oliver Plunkett N.S. and support the ethos of the school. All of the schools policies are available on our website at www.blackrockns.ie
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