ACC Enrolment 2019
Before completing the enrolment Form below, please make sure that you are eligible to apply. To see our Admissions Policy click on the this link - goo.gl/EpameU.

You must complete the Form in one session. If you have all your information available it will take approximately 10 minutes to complete this Form.

Once you have filled in this From and submitted it we will send you an email (Digital Receipt) to the email address* you provide us with.

If an offer of a place is made and accepted you will be required to visit the College's office and provide proof of residency - see note 36 below.

The Digital Receipt will contain the information you provide in this Enrolment Form.
Keep your Digital Receipt as proof of your application.

*We may also use your email address to send you school related information in the future.

Your Email Address *
Please be very careful when spelling your email address. This is the address we will send your Digital Receipt to.
Your answer
1) Year for Application *
This Form is for 2019 applicants only. Please tick the box below to indicate that you understand that this Form is for 2019 applications only. Applications for other years will not be considered.
Required
2) Your child's First Name *
Your answer
3) Surname: *
Your answer
4) Date of Birth: *
MM
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DD
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YYYY
5) Applicant's PPS No. *
Please enter your child's PPS number. This is available from Department of Social Welfare and is necessary for registration as a pupil.
Your answer
6) Gender *
7) Country of birth *
Your child's country of birth
8) Birth Certificate First Name *
Your answer
9) Birth Certificate Surname *
Your answer
10) Address 1: *
Your answer
10) Address 2 *
Your answer
10) Address 3
Your answer
10) Address 4
Your answer
11) County *
12) Nationality: *
Your answer
13) Mother’s Maiden Name *
Your answer
14) Mother’s First Name: *
Your answer
15) Mother’s Mobile Phone Number: *
Your answer
16) Father’s Name: *
Your answer
17) Father’s Mobile Phone Number: *
Your answer
18) Home Telephone No:
Your answer
19) Other contacts *
If it is not possible to contact either of your Parents/Guardians at any of the above numbers, please give the name, address and telephone number of a relation or neighbour who could be contacted in case of emergency.
Your answer
20) State the names of any siblings (if any) in the College.
Your answer
21) Primary School Attended by applicant: *
22) If "Other" Primary School please state name below
Your answer
23) Is/was your child in receipt of Resource Teaching in Primary School? *
24) If "Yes" to question (23) give brief details
Your answer
25) Is your child officially exempt from the study of Irish? *
26) Do you or your child have a Medical Card? *
27) If "Yes" to question (26) above please state Card Number and Expiry Date below.
Your answer
28) Does your child suffer from any medical condition? *
29) If "Yes" to question (29) above give brief details
Your answer
30) Is your child allergic to anything? *
31) If "Yes" to question (30) above give brief details
Your answer
32) Doctor’s Name and Address and Telephone No. of Surgery: *
Your answer
33) State religion of your child (optional)
Your answer
34) Is there any other information you feel the school should be aware of?
Your answer
35) Please complete your Eircode below. If you are unsure of your code click on this link goo.gl/1jpvB2 *
Your answer
36) Proof of address - If an offer of a place is made and accepted you will be required to visit the College's office and provide proof of residency by furnishing a paper copy of any of the following documentation: i) A utility bill, issued within the last three months of submission, with the family name and address clearly listed. ii)A letter from a solicitor or bank/building society in Ireland confirming you have resided at the address stated on the application form. Proof of residency is required to make sure you live within the College's catchment area. To see our Admissions Policy click on the this link - goo.gl/EpameU. Please tick the box below to indicate you understand the proof of address requirements.
Declaration 1 - “I agree that the College Principal may contact my child’s former school(s) to ascertain academic progress and behaviour. I further agree that my child named on this Form will attend Adamstown Community College in accordance with the rules and policies of the College” *
Declaration 2 - I have carefully read and understand the College's Code of Positive Behaviour. Click on this link - goo.gl/xDqlYW *
Make sure to click the Submit button below.
If you do not see a confirmation message check and make sure that you have completed all mandatory questions.
Closing date for applications is January 26th 2018 at 12 noon.
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