Abbey Community College Enrolment Form

Student Name ________________________________

1|Page

Student’s Name as per Birth Cert: ___________________________________________ Student’s PPS No: _________________________ Student’s Date of Birth: Religion:

Gender: Male

Female

______________________ (Include copy of original Birth Cert)

_______________________________ (If not practicing please say “none”)

Does the Student hold a current Medical Card?

Yes

No

If Yes, please give Expiry Date ________________ and Medical Card No ________________ Mother’s Maiden Name:

___________________________________________________

Parents / Guardians Details Print Name

Postal Address:

Sign Name

Email

Relationship to Student

_______________________________________________________

Telephone Numbers Landline No. Mobile No. Work No.

Mother / Guardian

Father / Guardian

Contacts; please include details of additional emergency contact people / authorised to collect the student from school, if possible. Telephone Number

Print Name

Relationship to Student

2|Page

Student Photos Your child’s photo (Passport Style) will be taken for our school’s administration system called VSWare. On other occasions your child’s photo may be taken in relation to school based activities / publications only. Please tick box if you DO NOT consent to its use on these occasions.

Student’s Health Please outline any health issues, including allergies that Abbey Community College should be aware of:

Students with Special Needs Is the student currently receiving any Special Needs Resources/SNA?

Yes / No

Has the student under gone an Educational Psychological Assessment or any other relevant assessment? Yes / No, If yes, what year: ___________ If yes, please supply relevant information including copy of each assessment and details of resource hours being received:

Primary School Attended:

________________________________________________

Telephone No. of Primary School: ___________________________________________ Names of Siblings currently attending Abbey Community College, if applicable: _______________________________________________________________________________________________

3|Page

Please note any information which you feel is relevant to your child’s application for a place in Abbey Community College:

Collection from School Names of Person(s) with permission to collect your child from school (if different from above) Name ______________________

Contact Number ___________________

Relationship to Student (Grandparent, Aunt etc) _______________________ Name ______________________

Contact Number ___________________

Relationship to Student (Grandparent, Aunt etc) _______________________ Subject Choices Under the guidelines for the new Junior Cert students will do a maximum of 10 subjects in total The following are the list of core exam subjects that all students will take: 

Irish (Unless in the case of exemption)



English



Math’s



Science



CSPE

The following are non-exam core subjects: 

SPHE



PE



Religion

Languages Student must choose from; French German

4|Page

Students must now choose 4 subjects in order of preference (1 – 4) from the following list; Art Materials Technology (Metalwork) Geography Technical Graphics (Mechanical Drawing) Business Studies

Materials Technology (Woodwork) Music History Home Economics

Schools and Policies Before a student can be enrolled in Abbey CC they and their parents/Guardians must confirm that they are willing to be bound by the rules and policies of the school. Any failure in this regard will preclude a student from obtaining a place in Abbey CC. Rules and Policies are available on our website www.abbeycc.ie or in writing from the school. Copies of some policies will also be printed in the student’s school journal. I _______________________ (Student Name) agree to accept and be bound by the rules of Abbey CC for the full term of my time in the school. ________________________________ (Student Signature) ________________________________ (Parent Signature)

Please Note It is the responsibility of Parents / Guardians to familiarize themselves with school policies, which are available on www.abbeycc.ie or in the student’s journal. Copies may also be obtained from the school by request in writing Checklist: Is the Enrolment Form fully completed? ___ Copy of Birth Cert Enclosed ___ Copy of Educational Psychological Assessment (or other assessment) enclosed, if applicable

___

5|Page