MILLSTREET COMMUNITY SCHOOL, BOOK GRANT APPLICATION FORM
Please complete this form only if you are in need of assistance with the purchase of books.Submission of this form does not guarantee assistance.
Names of Children in MCS at present:
Name
First Name
Last Name
Class Group
Name
First Name
Last Name
Class Group
Name
First Name
Last Name
Class Group
Name
First Name
Last Name
Class Group
Occupation of Parent/Guardian 1
Occupation of Parent/Guardian 2
Have you a medical card?
Yes
No
Number of children in family
Number of those employed
Occupation of children employed
Please state the reason(s) why your child(ren) should be included for consideration in the Book Scheme*
* It is not sufficient to say books are too expensive
Name to which Cheque should be payable if eligible
First Name
Last Name
Parent / Guardian Signature
Date
-
Day
-
Month
Year
Date
Submit
Should be Empty: