St. Leo's College Enrolment Application Form 2024-2025

Student Application Form 2024-2025

This is an application form for admission and does not constitute an offer of a place, implied or otherwise. Completed application forms will be accepted from Monday 2nd October, 2023. The information provided in this form is subject to the rights and obligations set out in the General Data Protection Regulation (GDPR) of May 2018. The data will be notified to the Department of Education & Skills as part of the annual pupil enrolment returns.
Student Name*

First NameLast Name
Please confirm that your daughter is currently in 6th class in Primary School*

Yes, my daughter is currently enrolled in 6th class in Primary School
Student Date of Birth*

DayMonthYear
Date
Student PPSN*
Student Nationality*
Mother's Maiden Name*
Required by Department of Education for registration.
Address*

Address Line 1

Address Line 2

TownCounty

Eircode
Parent / Guardian 1 - relationship to student*

MotherFatherGuardian
Parent / Guardian 1 Full Name*

First NameLast Name
E-mail for Correspondence*
example@example.com
Mobile Number for SMS Messages*
Parent / Guardian 2 Full Name

First NameLast Name
Parent / Guardian 2 Email
example@example.com
Parent / Guardian 2 Phone Number
Please enter a valid phone number.
Parent / Guardian 3 Full Name

First NameLast Name
Parent / Guardian 3 Phone Number
Please enter a valid phone number.
Primary School Attended*
Please enter the name and address of the Primary School if not included in drop down list above
Does your daughter have a Professional report?*

YesNo
If yes, please select the option that applies:

EducationalOccupational TherapySpeech and LanguageOther
If 'Other' professional report - please specify:
Does your daughter have an Irish Exemption?*

YesNo
Date of Exemption:
Does your daughter have access to an SNA in Primary School?*

YesNo
Please provide us with any necessary Medical Information i.e. Vision/Hearing/Other, please specify:
Additional Comments/Relevant Information:
Attach a copy of your daughters birth certificate here:*

Cancelof
The student and parent(s)/guardian(s) commit to the following:
Accept and abide by the St. Leo's College Code of Behaviour and the ethos of the school.
Agree to the sharing of information from my daughter's primary school.
Can provide copies of documentation in relation to exemptions, psychological/medical reports, if required.
Consent for my daughter's photograph being included in the newsletter and/or on the website in school publications for educational purposes.
Policies and Code of Behaviour are available on our website www.stleoscarlow.ie
Signature*

Clear
Should be Empty:

Student Application Form 2024-2025

The student and parent(s)/guardian(s) commit to the following: