Scoil Ursula N.S.

ENROLMENT FORM

Surname _________________________ Home Phone/ Mobile _______________________________________

First Name Male Female Religion______________________________

Address______________________________________________________________________________________

Nationality______________________________ RSI Number_________________________

D.O.B. __________________________ Birth/Adoption Certificate Checked ( Office only ) ___________

Child's place in Family __________ Baptismal Certificate photocopied / returned ( Office only) _____________

Names of other children attending/attended Scoil Ursula _______________________________________________

Name of Playschool/Pre-School attended _______________________________________ How long____________

Proposed Date of Entry to Scoil Ursula __/__/__ Proposed Class of Entry ______________________________


Name of Father ____________________ Employer___________________________________________

Occupation ________________________ Work Phone No. _____________________________________

Name of Mother ____________________ Employer __________________________________________

Occupation ________________________ Work Phone No. _____________________________________


Name of Guardian ___________________ Phone No. __________________________________________

Emergency Contact Name __________________________ Phone No. _______________________________________

_______________________________________________ _______________________________________

Any health problems e.g. eyesight, hearing, asthma, allergies, medication, etc._________________________________

_____________________________________________________________________________________________
In the event of an emergency it is school policy to seek medical attention.
In the event of a serious accident, your child will be brought to casualty, where none of the above
mentioned persons are contactable.

TRANSFER FROM ANOTHER SCHOOL :

Name & Address of previous School(s) ____________________________________________________________

Transfer form received: _______ _____________________________________________________________

Most recent standardized English and Maths Test _______________ Full school report____________________

I accept the rules and regulations the school authorities deem necessary, for the maintenance of order and discipline in the school (see Code of Behaviour Booklet).
I give my child permission to take part in out-of-school activities, e.g.: workshops, sports, outings, etc.
I give permission to have my child's photograph (unnamed) be included in projects, school website, etc involving life in our school.

Signed …………………………………………………………. Date ………………………………….

Dear Parents,

Scoil Ursula has a long and proud tradition of educating and including children from other religious traditions. Respect and tolerance for other religious and cultural backgrounds has always permeated our school life. We believe that the development of the holistic individual is dependant on understanding and appreciating diversity in an increasingly multi-cultural world.


It is required to answer the following:

1. Are you aware that this is a Roman Catholic school? Yes/No

2. Are you aware that the Catholic ethos permeates the school day, and is intertwined in all school activities?
Yes/No





In order to reflect accurately the level of need of our pupils the school needs to know the appropriate financial state particular to each family. This information will be confidential to the school and will be used to determine the level of grants from the Department of Education for school books. (Free Book Scheme/Loan Rental Scheme).

PLEASE TICK APPROPRIATE BOX: ONE BOX ONLY

1. Your family is dependent mainly on social welfare payments.

2. Your family is on low income from employment.
These families are likely to be in receipt of Family Income
Supplement and/or benefit from the back to school
clothing and footwear scheme.

3. Your family are experiencing financial hardship due to
certain circumstances in the home.
(If necessary contact the school).

4. Not in need.



Please sign ……………………………………………………..


Thank you for your help.