Application Form Bremore Educate Together Secondary School

Bremore Educate Together Secondary School

Stephenstown Campus, Balbriggan, County Dublin.
APPLICATION FORM

New Admissions 2024-2025
Other Year Groups, Student Entry September 2024 ONLY

The process of admission to Bremore ETSS will include a number of stages.

Note: Bremore ETSS reserves the right to change any of the dates and procedures outlined below in accordance with changing circumstances.

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

Applicants should read the school's Admission Policy prior to completing the application form.

The School’s Admissions Policy is available on the school website.

Admission Policy:

http://bremoreetss.ie/Content/2023/2/by90-Admission_Policy.pdf

Annual Admission Notice for 2024/2025 school year:

https://bremoreetss.ie/Content/2024/8/wl84-ET_template_annual_admissionsnotice_Bremore_ETSS_202425.pdf

The information requested on the application form is required in order to process your application for admission to the school. The information provided by you will be treated confidentially and processed in line with the school’s Admission Policy.

Any personal data provided on this form will be used to (i) identify applicants (ii) process an application in line with the school’s admissions policy (iii) communicate with parents/guardians in respect of an application (iv) notify parents/guardians of the outcome of an application.

The information will be retained for an appropriate period thereafter to address any potential queries arising from the application process or added to the student’s school file in the case of successful applicants.

In accordance with section 66(6) of the Education Act 1998, as amended, personal data relating to applications for admission may be shared with the board of management of another school or the patron in order to facilitate the efficient admission of students. This information may include the date on which an application was received by the school, the date on which an offer was made and the date on which an offer was accepted. Personal information concerning applicants may also be shared, including their name, address, date of birth and PPS number. Further information on the handling of your personal data, including how to exercise your rights under GDPR, is set out in the school’s Data Protection Policy, which is available on is available on the school website:

http://bremoreetss.ie/Content/2020/2/General_Data_Protection_Regulation_GDPR.pdf

Applicants must have reached twelve years of age by January 1st of their first year in secondary school and should be no older than is appropriate to their peers. Students should have completed a primary school programme including 6th Class or equivalent.

Application forms will be made available from 10am on Wednesday 1st of May 2024.
All aspects of the application form must be completed fully by the parents/guardians of the student seeking enrollment. Failure to do so may result in a rejected application. (The information sought therein complies with the regulations of the various Data Protection Acts and will be managed in accordance with these acts.)

Application Forms can be completed electronically at the Bremore ETSS website, www.bremoreetss.ie/admissions, from 10am on Wednesday 1st of May 2024.

Application forms will only be accepted in respect of students entering 2nd, 3rd, 4th, 5th or 6th year in September 2024.

The closing date for completed application forms will be 4pm on Wednesday 22nd of May 2024.

Offers of places will begin by Wednesday 12th of June. Further information may be required at this time.

Failure to respond to an offer of a place in writing within 14 days of the offer being made will result in the place being forfeited.

Places will be offered in order of priority i.e. Priority Category 1, Priority Category 2, Priority Category 3 and Priority Category 4.

Anyone applying after 4pm on Wednesday 22nd of May will be placed on a waiting list and offered a place only after the 4 priority categories have been offered places.
Please indicate what Year Group are you applying for:*

1st Year 2024-20252nd Year 2024-20253rd Year 2024-20254th Year / Transition Year 2024-20255th Year 2024-20256th Year 2024-2025
Student Details
Name*

First NameMiddle NameLast Name
Home Address*

Street Address

Street Address Line 2

Town / CityCounty

Postal / Eir CodeCountry
Secondary School Currently Attending*
Students PPS Number
PPS Number
Country of Birth*
Country of Birth
Date of Birth*

DayMonthYear
Gender
The Department of Education and Skills are seeking the following information on the nationality, mother tongue and ethnic/cultural background of students in post-primary schools:
Student Nationality*
*Nationality is the preferred nationality which the parent/guardian, or student who is deemed competent to do so, provides. It is chosen regardless of whether the student is adopted or has a dual nationality
Is English or Irish the mother tongue of the student? (Mother tongue is the language a child speaks as their first language.)*

YesNo
IN RESPECT OF THE NEXT QUESTION YOU MAY OPT NOT TO PROVIDE AN ANSWER
To which ethnic or cultural background does the above named student belong? Please circle only one category (these categories used are based on the Census)

White IrishIrish TravellerRomaAny other white backgroundBlack or Black Irish – AfricanBlack or Black Irish – any other Black backgroundAsian or Asian Irish – ChineseAsian or Asian Irish – Any other Asian backgroundOther including mixed backgroundNo consent
Parent / Guardian Information
Parent / Guardian 1*

First NameSurnameBirth Surname if different
Relationship to student*
Relationship to student.
Parent / Guardian 1 Address*

Street Address

Street Address Line 2

Town / CityCounty

Postal / Eir CodeCountry
Parent / Guardian 1 Contact Number*

Area CodePhone Number
Parent / Guardian 1 Email*
Parent / Guardian 2

First NameSurnameBirth Surname if different
Relationship to student
Relationship to student.
Parent / Guardian 2 Address

Street Address

Street Address Line 2

Town / CityCounty

Postal / Eir CodeCountry
Parent / Guardian 2 Contact Number

Area CodePhone Number
Parent / Guardian 2 Email
Emergency Contact Details

Please give the name of another person we can contact in case of an emergency, if we cannot get in contact with Parent(s) / Guardian(s) above
Emergency Contact Name*

First NameLast Name
Emergency Contact - Phone Number*

Area CodePhone Number
Emergency Contact - Relationship to student*
Relationship to student.
Access to/ Custody of Student
Are there any orders or other arrangements in place governing access to or custody of the student? (Please tick the relevant box)*

YesNo
If the answer to above is ‘Yes’ please provide details below
Siblings

In the event that the school is oversubscribed, applicant students who are siblings of children enroled in the school, will be placed in Priority Category 1. It is your responsibility to indicate here if the applicant student is a sibling of a student currently enroled in Bremore ETSS.
Please fill in name and current year of sibling below:
Sibling currently attending Bremore ETSS

First NameMiddle NameLast Name
Year of Sibling in 2023-24
Sharing of Data

Applicants should be aware that section 66(6) of the Education (Admission to Schools) Act 2018 allows for the sharing of certain information between schools in order to facilitate the efficient admission of students
Have you made an application to any other post primary/secondary school.*

YesNo
Please list below the names of schools you have made an application to:
Educational History
Reason for Transfer - please outline the reason(s) why you are seeking to transfer your child to this school*
Name of Secondary School last attended*
Name of Principal*
Address and contact details of Secondary School*
Optional Information

Please note this information is optional and will not be used to make a decision on your application, this information will be used to support your child should they gain entry to the school.
Exams taken

Junior CycleLeaving CertOther
Results of exams taken (if any)
Has your child ever received any additional resources in relation to Special Educational Needs?.

YesNo
If so please give details:
Is your child currently study Irish?

YesNo
If your child is not currently studying Irish please explain the reason why below:
Has your child ever been in contact with any of the following:

Social WorkerAdvocateJunior Liaison Officer (JLO)CounsellorPhysiotherapistFamily Support WorkerPsychiatristSocial WorkerSpecial Needs Co-ordinatorPsychologistDrug Treatment ClinicOther
Has your child ever been assessed by a Psychologist?

YesNo
Does your child have any specific behavioural problems of a serious nature that the school should be made aware of?
Please include any other additional information not addressed above:
Ionad Nasc (ASD Special Class)
Do you intend to make an application to Ionad Nasc (Bremore ETSS's ASD Special Class)?*

YesNo
A place can only be offered in the Ionad Nasc (ASD Special Class) if a corresponding place also exists in the respective year the student has applied to join.

Please note both of our ASD Special Classes are currently full, therefore we have no places available at this time.

Anyone wishing to make an application to the Ionad Nasc (ASD Special Class) MUST submit an online application to the mainstream school AND indicate here that they intend to make an application to Ionad Nasc (ASD Special Class). An application form will be posted out with the letter of offer, if the mainstream application is successfull and you will have 14 days to respond.

All applications for enrolment in the Ionad Nasc (ASD special class) will be considered within the context of the school's Admission Policy.
Medical Details

(Required to ensure the school has an accurate record of medical conditions including your Doctor’s contact details in the event of a medical issue arising during school activities. Please note it may be necessary to disclose this information to staff)
Doctor's Name

First NameLast Name
Name and Address of Doctor's Practice

Street Address

Street Address Line 2

Town / CityCounty

Postal / EirCode
Phone Number of Doctor's Practice

Area CodePhone Number
Do you have a Family Medical Card?

YesNo
Does the student require glasses?

YesNo
Does the student have any hearing difficulties?

YesNo
Does the student have any of the Chronic Conditions listed?

AsthmaDiabetesEpilepsyAnaphylaxisNarcolepsy
Other
Procedures to follow for a particular illness
Any other medical concerns/information of relevance?
First Aid
I hereby authorise Bremore ETSS to administer First Aid to my child if deemed necessary by the school:*

I consent to the aboveI do not consent to the above
Parent/Guardian*

First NameLast Name
Date*

DayMonthYear
Date
Rules and Policies - Signature(s)
Student Supports Permissions
Bremore ETSS at all times strives to support all students to reach their full potential. Over the course of their time in secondary school your young person may need support from our Special Education Team, Student Support Team or Guidance Counsellor.
Please indicate below your permission for your young person to receive support if the need arises:*

I give permissionI do not give permission
To support all students in reaching their full potential and continue to build on their learning during their study here we will administer standarised testing, including an entrance exam and/or psychometric testing in line with best practice and as recommended by the Department of Education. This helps to inform us of the students’ progress and if any support is required.
Please indicate below your permission for your young person to engage in psychometric and /or standardised testing:*

I give permissionI do not give permission
iPad

Please note Bremore Educate Together Secondary School (Bremore ETSS) requires all students to purchase an iPad from our preferred service provider (Select Online), prior to the start of their school year.
I am aware of this and I agree to this purchase:
Parent/Guardian 1*

First NameLast Name
Parent/Guardian 2

First NameLast Name
Date*

DayMonthYear
Policies

We (Student and Parent/Guardian) agree to comply with the Bremore Educate Together Secondary School Code of Positive Behaviour, Anti Bullying Policy, Acceptable Usage Policy and any other Policies published on the school website.
Parent/Guardian 1*

First NameLast Name
Date*

DayMonthYear
Parent/Guardian 2

First NameLast Name
Date

DayMonthYear
Students Name*

First NameLast Name
Date*

DayMonthYear
Photos/Video
Our school maintains a database of photographs and digital images including videos of school events. It is customary to take photos and videos of students engaging in activities to create a pictorial and historical record of school life and as a means of presenting projects and work done. Photographs and videos may be published on our school website and blog, newsletters, calendars, Twitter and local and national newspapers.
Please chose an option:*

I am happy to have my child’s photograph/digital image taken as part of school activities and included in all such records.I would prefer not to have my child’s photograph/digital image taken and included in such records.
Parent/Guardian*

First NameLast Name
Date*

DayMonthYear
Date
Please note:

Submission of an application form for enrolment is not a guarantee of a place in Bremore Educate Together Secondary School (see Admissions Policy).The School’s Admissions Policy is available at www.bremoreetss.ie. It is the responsibility of parents/guardians to inform Bremore Educate Together Secondary School of any changes of address, contact details or other relevant information that may occur after submission of this form.
Some or all of the Data collected on this form may be used for: communication between home and school; returns to the Department of Education and Skills; VSware database; establishment of Office 365 and iPads; and organising school trips.
In order for us to contact you by email or phone, Data Protection best practice requires us to ask you for your permission to do so. Please state:*

Yes, I give you my permission to contact me by email and/or phone.No, I do not give you permission to contact me (in which case we cannot accept your submission)
Enter the message as it's shown*
Should be Empty:

Bremore Educate Together Secondary School

Student Details

The Department of Education and Skills are seeking the following information on the nationality, mother tongue and ethnic/cultural background of students in post-primary schools:

Parent / Guardian Information

Emergency Contact Details

Access to/ Custody of Student

Siblings

Sharing of Data

Educational History

Optional Information

Ionad Nasc (ASD Special Class)

Medical Details

First Aid

Rules and Policies - Signature(s)

Student Supports Permissions

iPad

Policies

Photos/Video

Please note: