Stepaside Educate Together Secondary School Application Form 23/24 (2nd

Stepaside Educate Together Secondary School Application Form 23/24
Section A Student Information
Student name *

First NameLast Name
PPSN *
Gender *
Date of Birth *
Country of birth *
Year to which student wants to join (2nd year, 3rd year etc.)
Current school *
Reason for leaving current school *
*We may contact the school in connection with your son's/daughter's enrolment
Other schools attended
Name of sibling(s) currently attending SETSS (if applicable)
Section B Parent/Guardian Information
Parent 1 / Guardian 1 *

First NameLast Name
Parent 1 / Guardian 1 E-mail *
example@example.com
Parent 1 / Guardian 1 Mobile phone number (Irish number required)
Please enter a valid phone number.Format: (000) 000-0000.
Parent 1 / Guardian 1 (Other phone number)
Please enter a valid phone number.Format: (000) 000-0000.
Parent 1 / Guardian 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to Student
Parent 2 / Guardian 2

First NameLast Name
Parent 2 / Guardian 2 E-mail *
example@example.com
Parent 2 / Guardian 2 Mobile phone number (Irish number required)
Please enter a valid phone number.Format: (000) 000-0000.
Parent 2 / Guardian 2 Other phone number
Please enter a valid phone number.Format: (000) 000-0000.
Parent 2 / Guardian 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to student *
Section C Education Details

Required for the assessment of individual educational needs.
YesNo
2.2.1 (a) The student is not less that 12 years of age on the day of their enrolment or re-enrolment whose education was received outside the state (for a minimum period of three consecutive years) where he/she did not have the opportunity to engage in the study of Irish.2.2.1 (b) The student's education was received outside the state (for a minimum period of three consecutive years) where he/she did not have the opportunity to engage in the study of Irish and who is enrolling following the completion of the full course of primary education recognised by another state.2.2.2 The student experiences significant literacy difficulties which are an obstacle to their learning across the curriculum and which are persistent despite having had access to a differentiated approach to language and literacy learning in all subjects/across the curriculum and over time and presents with a standardised score on the discrete test in either Word Reading, Reading Comprehension or Spelling at/below the 10th percentile2.2.3 The Student experiences a high level of multiple and persistent needs, that persist despite targeted and individualised Student Support Plans to address those whose needs (over not less than two years) and which are a significant barrier to the student's participation and engagement in their learning and school life and who been given every reasonable opportunity to participate in the learning of Irish in mainstream classes for as long as possible and the Principal is satisfied that the granting of an exemption is in the overall best interests of the student concerned.
2. Languages - What languages has the student studied? And to what level?
3. Subjects currently being studied:
YesNo
YesNo
YesNo
If the answer to any of the above is 'Yes' please provide details:
YesNo
Any other concerns/information of relevance?
Recent School Report

Cancelof
Signature

Clear
Please print name
I hereby authorise SETSS to contact and request the relevant school(s) release any Educational Reports and IEPs/PLPs held in respect of my child.
Please note:

1. Please submit the completed Student Enrolment Form as well as any other documentation and information that may be required by the school.

2. Submission of an application form for enrolment is not a guarantee of a place in Stepaside Educate Together Secondary School (see Admissions Policy)

3. It is the responsbility of parents/guardians to inform Stepaside Educate Together Secondary School of any changes of address, contact details or other relevant information that may occur after submission of this form.

4. The School's Admissions Policy is available at https://stepasideetss.ie/
Should be Empty:

Stepaside Educate Together Secondary School Application Form 23/24

Section A Student Information

Section B Parent/Guardian Information

Section C Education Details