Application

This screen is intended to allow you, as a Parent or Guardian, to submit details of your child as a prospective pupil to your chosen school.

DataBiz Solutions is an Irish company that provides software to Irish schools. If you have been directed to this screen, that means that your chosen school is using this facility to accept Admission forms. DataBiz Solutions will process that data in the strictest confidence, and that data will be under the control of your school.

Before submitting any details, it is recommended that you have read your chosen school's Admissions Notice and Admissions Policy, which, if you are filling in this form within the set time period, should be available now from your chosen school's website. Your school's Roll Number should be included in those documents.

Any response to your application will come from - and any specific queries regarding enrolment should be directed to - your chosen school.

Please enter your School's Roll Number:

This application is for the academic year

This pupil is applying to join:

All fields marked with an asterisk (*) are mandatory.

Step of : Pupil's Personal Details

Enter name details using Title Case - that means using a capital letter at the beginning of each name, with the remainder in lower case.

First nameThis is a mandatory field!Last nameThis is a mandatory field!Date of birthThis is a mandatory field!GenderThis is a mandatory field!

Departmental Details

PPS NumberThis is a mandatory field!NationalityThis is a mandatory field!Cultural background (i.e. country of birth)This is a mandatory field!Mother's maiden/family nameThis is a mandatory field!EthnicityThis is a mandatory field!ReligionThis is a mandatory field!

Birth cert. first nameThis is a mandatory field!Birth cert. last nameThis is a mandatory field!

Address

Street AddressThis is a mandatory field! This is a mandatory field! This is a mandatory field! This is a mandatory field!EircodeThis is a mandatory field!CountyThis is a mandatory field!Dublin Postcode No. (if resident in Dublin)This is a mandatory field!Include county in home addressThis is a mandatory field!

Step of : Parent/Guardian/Contact Details

As the parent/guardian of this Pupil, I have read and accept the school's Code of Conduct. I agree that this Pupil will abide by this Code and understand the requirements and potential consequences outlined therein.This is a mandatory field!If there are any Orders or specific arrangements in place governing access to this Pupil, please provide details hereThis is a mandatory field!

In this section, you are asked to provide contact details for this Pupil's guardian(s) and contact person(s). Each person entered must be unique and must have unique contact details (if provided). As a guide:

When asking for a 'guardian', your school is looking for the parent or legal guardian for this Pupil.
'Default' guardian simply indicates that person your school will attempt to contact by default for normal, day-to-day matters concerning this Pupil.
If listed, 'emergency contacts' are those persons that your school will attempt to contact in an emergency situation when this Pupil's guardians are not contactable first.

When entering the details of these persons, remember:

DO NOT enter the same person more than once.
DO NOT enter the same email address or mobile number more than once.
Enter name details using Title Case - that means using a capital letter at the beginning of each name, with the remainder in lower case.

The default guardian

First nameThis is a mandatory field!Last nameThis is a mandatory field!EmailThis is a mandatory field!MobileThis is a mandatory field!Relationship to childThis is a mandatory field!

Occupation

Default guardian occupation instructionPlease select an occupation from the selection provided. If this guardian's occupation is not listed, please enter that occupation in the text area instead (otherwise leave blank).This is a mandatory field!Default guardian occupation (selection)This is a mandatory field!Default guardian occupation (textarea)This is a mandatory field!

Other guardian or contact person

This person isThis is a mandatory field!First nameThis is a mandatory field!Last nameThis is a mandatory field!EmailThis is a mandatory field!MobileThis is a mandatory field!Relationship to childThis is a mandatory field!

Occupation

Other guardian occupation instructionPlease select an occupation from the selection provided. If this guardian's occupation is not listed, please enter that occupation in the text area instead (otherwise leave blank).This is a mandatory field!Other guardian occupation (selection)This is a mandatory field!Other guardian occupation (textarea)This is a mandatory field!

Emergency Contact 1

First nameThis is a mandatory field!Last nameThis is a mandatory field!EmailThis is a mandatory field!MobileThis is a mandatory field!

Emergency Contact 2

First nameThis is a mandatory field!Last nameThis is a mandatory field!EmailThis is a mandatory field!MobileThis is a mandatory field!

Step of : Pupil's Medical Details

Medical contact (Doctor / Nurse / etc.) details, if known

Medical contact details instructionPlease select an appropriate medical contact from the selection provided. If this child's appropriate medical contact is not listed, please enter those details in the text area instead (otherwise leave blank).This is a mandatory field!Medical contact details (selection)This is a mandatory field!Medical contact details (textarea)This is a mandatory field!

Medical conditions

Medical conditions instructionPlease select all applicable medical conditions from the selection provided. If this child has medical conditions that are not listed, please enter the details of those conditions in the text area instead (otherwise leave blank).This is a mandatory field!Medical conditions (selection)This is a mandatory field!Medical conditions (textarea)This is a mandatory field!

Step of : Pupil's Support Details

Has this pupil received

Learning Support for LiteracyThis is a mandatory field!Learning Support for NumeracyThis is a mandatory field!Access to a Special Needs Assistant (SNA)This is a mandatory field!

Does this pupil have a Support File (also known as a Continuum of Support File)?This is a mandatory field!

NEPS/HSE Assessment

Has this pupil been assessed by a N.E.P.S. / H.S.E. assessor?This is a mandatory field!If so, please provide details here (leave blank otherwise):This is a mandatory field!

Therapist Support

Has this pupil been assessed by - or received support from - an Occupational Therapist, a Speech and Language Therapist, a Paediatrician (regarding developmental issues), Psychological services, or any other such professional or service?This is a mandatory field!If so, please provide details here (leave blank otherwise):This is a mandatory field!

Agency Support

Has this pupil received support from agencies such as the H.S.E., Enable Ireland, Rainbows, or Child Focus?This is a mandatory field!If so, please provide details here (leave blank otherwise):This is a mandatory field!

Step of : Pupil's Educational Details

Home languages

Home languages instructionPlease select all applicable languages spoken in this Pupil's home from the selection provided. If this child is familiar with languages that are not listed, please enter the details of those languages in the text area instead (otherwise leave blank).This is a mandatory field!Home languages (selection)This is a mandatory field!Home languages (textarea)This is a mandatory field!

Does this pupil have an exemption from Irish?This is a mandatory field!Status of the Pupil before joining: This is a mandatory field!Status of the Pupil before joining: This is a mandatory field!Please provide the name, address, and contact number of this pupil's previous school or childcare setting here (if applicable)This is a mandatory field!If transferring from another Primary-level school, please provide their class and Teacher's name hereThis is a mandatory field!Please provide the details of the class the Pupil is currently, or was last, in:This is a mandatory field!This pupil completed an Early Start programme.This is a mandatory field!

Step of : Pupil's Other Applications

Has this pupil applied to another school? If so, please provide details hereThis is a mandatory field!Is this pupil awaiting an offer from another school? If so, please provide details hereThis is a mandatory field!Has this pupil accepted an offer from another school? If so, please provide details hereThis is a mandatory field!

Step of : Parental Consent

By submitting this application form, consent is assumed to be given for the following items. Should you wish to withdraw your consent for any of the following, please contact the school directly, in writing, after the form has been submitted. Note that some items may not be optional.

Step of : Application Categories & Criteria

Select the appropriate category/categories for this pupil's application, and then the specific criteria of that category under which they qualify.
Your child can be entered into multiple categories.

Please note:

By submitting this form, you confirm that the above details are correct as of the date of submission. Incomplete data or provision of false or misleading information will render this application null and void.

This application does not guarantee or indicate the securing of a place in . Information gathered will be processed according to GDPR regulations.