Board of Management
Email address *
School Details:
Roll Number: *
Your answer
School Name: *
Your answer
School Address: *
Your answer
School Phone No: *
Your answer
School Email: *
Your answer
Parish: *
Deanery Area: *
Please indicate the Deanery Area
Patron Nominees:
Patron consults with the Parish Priest in relation to the Patron Nominees
Title:
Name of Chairperson: *
Name of Chairperson:
Your answer
Address of Chairperson: *
Address of Chairperson
Your answer
Eircode: *
Your answer
Personal Phone No: *
Chairperson's Contact Phone No:
Your answer
Chairperson's Email Address: *
• If Chairperson does not have a personal email address or feels uncomfortable with technology it is suggested that an email address be created that Chairperson can access in the school on a regular basis.
Your answer
Title:
Patron's Nominee 2: *
Name of 2nd Patron's Nominee on Board:
Your answer
Address Patron Nominee 2: *
Address of Patron Nominee 2
Your answer
Parents:
Title:
Parent Nominee 1: *
Name of Female Parent Nominee on Board:
Your answer
Address Parent Nominee 1: *
Address of Parent Nominee 1
Your answer
Title:
Parent Nominee 2: *
Name of Male Parent Nominee on Board:
Your answer
Address Parent Nominee 2: *
Address of Parent Nominee 2
Your answer
Teachers:
Title:
Name of Principal: *
Please input the name of the Principal/Acting Principal
Your answer
Address of Principal: *
Address of Principal
Your answer
Title:
Teacher Nominee: *
Name of Teacher Nominee:
Your answer
Address of Teacher Nominee:
Address of Teacher Nominee
Your answer
Community Members:
Title:
Community Member 1: *
Name of 1st Community Member on Board:
Your answer
Address of Community Member 1: *
Address of 1st Community Member on Board:
Your answer
Title:
Community Member 2: *
Name of 2nd Community Member on Board:
Your answer
Address of Community Member 2 : *
Address of 2nd Community Member on Board:
Your answer
PRIVACY NOTICE: THE INFORMATION ON THIS FORM WILL BE USED IN CONNECTION WITH THE MEMBERSHIP OF THE ABOVE SCHOOL’S BOARD OF MANAGEMENT. THE NAME AND CONTACT DETAILS ON THE FORM WILL BE RETAINED INDEFINITELY BY THE DIOCESE.
A copy of your responses will be emailed to the address you provided.
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