Board of Management
Email address *
School Details:
Roll Number: *
School Name: *
School Address: *
School Phone No: *
School Email: *
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:
Address of Chairperson: *
Address of Chairperson
Eircode: *
Personal Phone No: *
Chairperson's Contact Phone No:
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.
Title:
Patron's Nominee 2: *
Name of 2nd Patron's Nominee on Board:
Address Patron Nominee 2: *
Address of Patron Nominee 2
Parents:
Title:
Parent Nominee 1: *
Name of Female Parent Nominee on Board:
Address Parent Nominee 1: *
Address of Parent Nominee 1
Title:
Parent Nominee 2: *
Name of Male Parent Nominee on Board:
Address Parent Nominee 2: *
Address of Parent Nominee 2
Teachers:
Title:
Name of Principal: *
Please input the name of the Principal/Acting Principal
Address of Principal: *
Address of Principal
Title:
Teacher Nominee: *
Name of Teacher Nominee:
Address of Teacher Nominee:
Address of Teacher Nominee
Community Members:
Title:
Community Member 1: *
Name of 1st Community Member on Board:
Address of Community Member 1: *
Address of 1st Community Member on Board:
Title:
Community Member 2: *
Name of 2nd Community Member on Board:
Address of Community Member 2 : *
Address of 2nd Community Member on Board:
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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