Coláiste Iognáid Transfer Form September 2022

FOIRM IARRATAIS AISTRIÚ/ TRANSFER APPLICATION FORM (SEPTEMBER 2022)

This application form is for students applying to enter Coláiste lognáid in September 2022 to a year other than First Year.
(Transfer: September 2022)
Coláiste Iognáid SJ is a Jesuit Secondary school and it operates under the trusteeship of the Society of Jesus and operates according to the "Characteristics of Jesuit Education'. All applicants are expected to be supportive of the Jesuit and Catholic ethos of Coláiste Iognáid SJ.

General Information:
- This application form is for students applying to enter Coláiste lognáid in September 2022 to a year other than First Year.
- Incomplete application forms will not be accepted. The College will not follow-up on incomplete forms.
- Closing date for applications is May 27th 2022 at 4.00pm. No late applications will be accepted.
Please tick which year the student is applying to attend in September 2022 *

Second Year Transition Year Fifth Year
Note: Applicants who have completed Junior Certificate in 2022 cannot apply to transfer to 5th Year.
Section A (Roinn A): Applicant's Details (Sonraí an larrthóra)
Ainm( Name) *

Ainm Baiste (First Name) Sloinne (Surname)
Dáta Breithe (Date of Birth) *

Day Month Year
Date
Uimhir PPS (PPS Number) *
Gnéas (Sex) *
Address *

Street Address

Street Address Line 2

County Country
Eircode *
Tír Inár Rugadh (Country of Birth) *
Náisiúnta (Nationality) *
Uimhir Cárta Leighis (Medical Card Number) - (If Applicable)
Section B (Roinn B): Parent(s) / Guardian(s) Details (Sonraí an Tuismitheoir)
Tuismitheoir/Caomhnóir 1 (Parent/Guardian 1):
Ainm lomlán Tuismitheoir/Caomhnóir 1 (Parent/Guardian 1 Full Name) *

First Name Last Name
Is the parent address the same as the applicant address? *

YES NO
Seoladh (Address) *

Street Address

Street Address Line 2

County Country
Eircode *
Uimhir Guthán Mobile Phone No *
Seoladh Ríomhphoist (Email Address) *
example@example.com
Uimhir Baile (Home Phone Number)

Area Code Phone Number
Tuismitheoir/Caomhnóir 2 (Parent/Guardian 2):
Ainm lomlán Tuismitheoir/Caomhnóir 2 (Parent/Guardian 2 Full Name)
Uimhir Guthán Mobile Phone No
Seoladh Ríomhphoist (Email Address)
example@example.com
Uimhir Baile (Home Phone Number)

Area Code Phone Number
Section C (Roinn C): Confirmation (Dearbhú)

(To be completed by the Primary Contact Person):
By ticking the box, I confirm that I have read the Admissions Policy from the school website, available at http://colaisteiognaid.ie/parents/policy-documents. *

Confirm
By signing this form I am applying for a place in Coláiste lognáid for my son/daughter. I confirm I have read and understood the General Information at the top of this form.
Síniú (Signature) *

Clear
Dáta (Date)

Day Month Year
Date
Please Note:
- Coláiste lognáid may communicate information in relation to this application via e-mail. It is the responsibility of the applicant's guardian(s) / parent(s) to ensure the e-mail address supplied is correct.
Section D (Roinn D): Educational History
Name and address of present school *
Other schools attended
Has the student a psychological assessment? *

YES NO
Has the student an exemption from Irish? *

YES NO
If YES, please upload a copy of the exemption certificate here.

Cancel of
Section E (Roinn E): Transfer Information (Eolas Aistriú)
Please outline the reason(s) for application to transfer to this school *
Is the student under investigation or part of an investigation by his/her current school? *

Yes No
If yes, please give details
What subjects is the applicant currently studying in school?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
What subjects does the applicant wish to study in Coláiste lognáid?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Please note that while every effort will be made to facilitate subject choices, it may not always be possible.
Section F (Roinn F): Additional Information (Eolas Breise)
What sports does the applicant play and at what level?
What other interests and achievements has the applicant?
Any other information, which would be of interest/relevance to the school
Section G (Roinn G): Contract For Parent / Guardian

By completing this form you are giving consent for the return of data to the Department of Education and to share this data with relevant teachers.

Certain data which the Department asks post-primary schools to furnish via the "Annual Post- Primary School October Returns/Examination Entries" process requires your written consent for the school to record this information and for the school to forward this information to the Department for the purposes as outlined in circular 47/2010, a copy of which is available at www.education.ie.

The application form should be fully completed and returned to the school with all relevant medical and educational reports. Prospective parents should acquaint themselves with the school's Code of Behaviour and policies available at www.colaisteiongaid.ie.
Parent / Guardian Contract and Consent

In registering my child for a place in Coláiste lognáid I understand that this implies a full acceptance of the rules of the school as laid down from the Board of Management.

I understand that while every effort will be made to ensure that my child will be facilitated in his/her subject choices, this may not always be possible.

As a partner in the education of my child, I recognise the need for me to do my utmost to support the work of the school.

By signing below, I am giving explicit consent for Coláiste lognáid to confirm, retain, use and disclose the information I have provided in accordance with the school's Data Protection Policy (summarised at the start of this section (Section G)).
Parent 1's signature; *

Clear
Date

Day Month Year
Date
Parent 2's signature;

Clear
Date

Day Month Year
Date
All applications must be accompanied by the following:
Copy of student's two most recent reports

Cancel of
Copy of any assessments (educational/psychological or other)

Cancel of
Please download this School Transfer Information form which must be completed and signed by the applicant's present school. The completed form can be emailed to admin@colaisteiognaid.ie or submitted to Coláiste Iognáid, Sea Road, Galway.
Please note an application form is not complete until the school transfer form and all relevant documents have been received. If you have any issues uploading relevant documents please forward to admin@colaisteiognaid.ie or post to Coláiste Iognáid, Sea Road, Galway.

Please note an incomplete application form will not be accepted as an application.
Should be Empty:

FOIRM IARRATAIS AISTRIÚ/ TRANSFER APPLICATION FORM (SEPTEMBER 2022)

(Transfer: September 2022)