Student Application Form

YEAR GROUP

Please tick the Year Group the student is applying to enter:

First YearSecond YearThird YearTransition YearFifth YearSixth YearLCA 1LCA 2

STUDENT DETAILS

First name (req):

Last name (req):

Address (req):

Landline (opt):

PPS number (req):If applying from outside Ireland, please put N/A.

Date of Birth (req):

Gender (req):
MaleFemale

Religion (req):

Nationality (req):

PARENT/GUARDIAN DETAILS

Parent/Guardian (1):

Full name (req):

Landline (opt):

Mobile (req):

Email (req):

Parent/Guardian (2):

Full name (req):

Landline (opt):

Mobile (req):

Email (req):

Mother's maiden name (req):

Name(s) of Brothers/Sisters in St Tiernan’s (at present) (opt):

Name(s) of Brothers/Sisters in St Tiernan’s (past students) (opt):

PREVIOUS SCHOOL(S)

School 1 (req):

School name (req):

School address (req):

Attended from (req):

Attended to (req):

School 2 (opt):

School name (opt):

School address (opt):

Attended from (opt):

Attended to (opt):

DECLARATION 1

I, hereby apply for a place in St Tiernan’s Community School for my son/daughter. I accept the Ethos of the school and respect and understand the value system it entails. I accept the right of the school to impose sanctions for misconduct in accordance with the school’s Code of Behaviour. I undertake to support St Tiernan’s Community School in the application of the school’s Code of Behaviour with regard to my son/daughter.

Signed by Parent/Guardian (req):
Tick to sign

Date (req):

DECLARATION 2

I, declare that I understand:

• St Tiernan’s Community School has a legal and legitimate interest to collect and process my child’s personal data in order to meet statutory requirements.

• How my data/my child’s data is used.

• St Tiernan’s Community School may share my data/my child’s data with the Department of Education and Skills, the HSE and Tusla in accordance with legislation or regulatory requirements.

• St Tiernan’s Community School will not share my data/my child’s data with any third parties without my consent unless the law requires the school to do so.

• St Tiernan’s Community School will always ask for explicit consent where that is required, and I must provide this consent if I agree to the data being processed.

• My data is retained in line with the school’s GDPR Data Protection Policy.

• My rights to the processing of my/my child’s personal data.

• Where I can find out more information about the processing of my child’s personal data/my personal data.

• St Tiernan’s Community School Privacy Notice for parents/guardians is published on our website www.tiernans.ie and is available at our office upon request.

Signed by Parent/Guardian (req):
Tick to sign

Date (req):

If/When a letter of offer is issued, we will require further information with regard to your son/daughter (i.e. part 2 of the Admissions Application must be completed fully and returned to the school – this form will be enclosed with the letter of offer).