Presentation College Athenry Application For Admission - First Year 2020/2021
This form should be completed by parents/guardians of sixth class students only. Deliberate misinformation may lead to an offer of a place being declined. The email address provided below will be used for all school correspondence. When you press submit at the bottom of the application form you will receive a copy of your submission to your email provided below. Thank you for taking the time to apply. I wish you well with your application. Cathal Moore - Principal
Email address *
I have read the Presentation College Athenry Admissions Policy passed by the Board of Management on the 17th September 2019. I understand that enrolment will be carried out in accordance with this Policy. Completing this application form indicates an acceptance of this policy and procedures. Applications that do not accept and agree with the Admissions Policy will not be considered. *
Student Details
The following questions relate to your son/daughter
Student's First Name (On Birth Certificate) *
Your answer
Student's Surname (On Birth Certificate) *
Your answer
Date of Birth (dd/mm/yyyy) *
MM
/
DD
/
YYYY
PPSN of student *
Your answer
Country of Birth *
Your answer
Nationality *
Your answer
Mother Tongue *
Ethnicity (The categories listed below are as provided by the Department of Education and Skills) *
Gender *
Mother's Maiden Name *
Your answer
Exemption from Irish *
Has your Son/Daughter been assessed by an Educational Psychologist? *
Primary School Attending *
Previous Primary School Attended (if not applicable please answer n/a) *
Your answer
To verify Criteria 4, 5 and 6 as per the PCA Admissions Policy I give permission for Presentation College Athenry to contact my child's Primary School to verify details provided in their application for enrolment. *
Name and Phone Number of Family Doctor *
Your answer
Medical Card *
Does your child have a sibling who attends Presentation College Athenry at present? (This refers to Criteria 1 in the Admissions Policy. In order for Students to qualify for this criteria ALL siblings must complete or have completed their second level education at Presentation College Athenry) *
Name of sibling(s) and year group *
Your answer
Does your child have a sibling who attended Presentation College Athenry in the past? In order for students to qualify for Criteria 2 ALL siblings must have completed their second level education at Presentation College Athenry. *
Name of sibling(s) and years attended? If not applicable please answer n/a. *
Your answer
Mother/Father/Guardian details
The following questions relate to mother/father/guardian
Mother's/Guardian's Full Name *
Your answer
Mother's/Guardian's Mobile Phone Number. *
Your answer
Mother's/Guardian's Secondary School Attended (if past pupil of Presentation College Athenry state years attended) *
Your answer
Father's/Guardian's Full Name *
Your answer
Father's/Guardian's Mobile Phone Number *
Your answer
Father's/Guardian's Secondary School Attended (if past pupil of Presentation College Athenry state years attended) *
Your answer
Emergency Contact No (if Parent/Guardian is not available) *
Your answer
Name to which all school Correspondence is to be sent *
Your answer
Address - Line 1 *
Your answer
Address Line 2 *
Your answer
Address Line 3 *
Your answer
Address Line 4
Your answer
Eircode *
Your answer
A copy of your responses will be emailed to the address you provided.
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