Application Form 2022
For admission to Belmayne Educate Together Secondary School in September 2022, students must reach the age of 12 years on January 1st 2023.

Applicants should read the school's Admission Policy, which is available on www.belmayneetss.ie prior to completing this application form. 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 admission policy (iii) communicate with parents/guardians in respect of an application (iv) notify parents/guardians of the outcome of the 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.

Parents/Guardians must respond in writing to confirm an offered place for their child within 14 days of that offer being made. Failure to do so may result in your child's place being forfeited.

It is the responsibility of parents/guardians to inform Belmayne Educate Together Secondary School of any change of address, contact details or other relevant information that may occur after submission of this form.

Please take care when filling out this form as offers of places in the school will be based on the information supplied.

After submitting the form you will be directed to an acknowledgment page. You will also receive an email receipt to the email address entered on the form. This email address will be our primary contact for you.

This form is only for entry into first year in 2022. If you are seeking to transfer and repeat a separate process will begin in April 2022 subject to places being available.


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Email *
Student - First Name *
Student - Middle Name
Student - Last name *
Gender *
Date of Birth *
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Current Primary School *
Other Schools Attended
Name of sibling in Belmayne ETSS if applicable
Place required in the ASD Class
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