Coláiste Bhaile Chláir

Application for Enrolment

Applicant details
Enrolment Year
Class type

Surname
 
Firstname
 
Home address
 
Second address
Town
County
EirCode
 
Home phone no.
 
DOB
 
P.P.S No
 
Nationality
 
Gender

Details of Parents / Guardians
Place of work
Mobile No.
 


Place of work
Mobile No.
 


Place in family
Name of sibling(s) in school
Medical History

Is your son/daughter physically fit to play sport?





Do you or your child hold a medical card?


Educational History

Exemption from Irish? (if yes, please submit copy of Exemption Certificate)

Is your son/daughter receiving any additional learning support?


Other Information
Sports played and level

Other interestes and achievements

Other information, which would be of interest/relevance to the school

Consents
Certain sensitive data which the Department requests post-primary schools to furnish via the “Annual Post-Primary School October Returns/Examination Entries” process requires your written consent for the school to record this information and for the school to forward this information to the Department for the purposes as outlined in circular 47/2010 a copy of which is available at www.education.ie
I consent to information being shared/forwarded to the Department of Education and Skills and where appropriate with class teachers.

I consent to information being collected from my son/daughters previous school in relation to their education.

I consent to screening/diagnostic tests being administered during my son/daughters time in school to identify and support their learning needs.

I consent for my sons/daughters image to be used in photographs and video for promotional purposes by the school and external agencies eg: Local and national press, Conferences which the school presents at.

The schools offers a full counselling service, if you do not wish for your child to participate in any aspect of the program please indicate below which aspects you do not wish them to receive over their time in Coláiste Bhaile Chláir.
I request my son/daughter not participate in

Confirmation of application
By filling in this application we wish to confirm our intention to enrol our student listed above in Claregalway College for the School Year as indicated. We further agree to accept the Admissions Policy and the Code of Behaviour
Contact
Coláiste Bhaile Chláir,
Lakeview,
Baile Chláir,
Co na Gaillimhe,
H91 T9RE

091 799 001


Enquire
Location
© 2019 Coláiste Bhaile Chláir