Application Form

1. Applicant's Name:

2. Date of birth:

YYYY

3. Gender:

Male

Female

4. PPS Number:

5. Nationality:

6. Religion:

7. If your child is Roman Catholic, where was your child Baptised:

8. Date of Baptism:

YYYY

9. Please state the primary language that the pupil speaks in their home:

Contact Details

10. Telephone number - Home:

11. Telephone Number - Work:

12. Mother's Name:

13. Mother's Mobile:

14. Occupation & Phone:

15. Mother's Email:

16. Father's Name:

17. Father's Mobile:

18. Occupation & Phone:

19. Father's Email:

20. Emergency Contact Name & Phone Number:

21. Special Home Circumstances:

Medical/Development Details

22.

Any medical information/condition school should be aware of (e.g. allergies, asthma, epilepsy, speech etc. Please give details:

Educational Details

23. Previous School Attended:

24. Date of Leaving:

YYYY

25. Any other family member in St Patrick's S.N.S:

26. Is your child receiving learning support in English?

Yes

27. Is your child receiving learning support in Mathematics?

Yes

28.

Does your child have a psychological or other assessment report?

Yes

29. Does your child have resource hours?

Yes

30. Does your child have resource hours?

Yes

31. Does your child have a Speech & Language report?

Yes

32. Does your child have access to a SNA?

Yes

33. Is your child exempt from the Irish Language?

Yes

34. I consent to the school giving contact details to the Health Service Executive (HSE) e.g. for dental, eye check, etc.

Permission Granted

Permission Withheld

35. I consent to the transfer of my child’s data from previous schools and to post primary schools. i.e. school reports, psychological reports, Irish exemption , birth certs etc.

Permission Granted

Permission Withheld

36. I consent to my child undertaking activities outside the school premises. E.g. visit the library, ITB, athletics, school tours, cinema etc. during school hours.

Permission Granted

Permission Withheld

37. We are asking you to grant consent to your child to use the computers in the school in line with our Acceptable Use Policy. From time to time we may publish children’s work on our website but children will not be identified individually.

Permission Granted

Permission Withheld

38. Throughout the school years the teachers of St. Patrick’s SNS/outside agencies working with classes, will need to take pictures/video of your child individually or in a group. I give permission for my child’s photo/video to be taken.

Permission Granted

Permission Withheld

39.

I give permission for my child to be taught via educational digital platforms.

To facilitate Distance Learning & Online communication, school staff may use a variety of digital platform such as, but not limited to, Seesaw/Zoom/RazKids/Studyladder/Google Classroom/Dojo/etc

Permission Granted

Permission Withheld

Please enclose the following with your application:

Birth Certificate
Baptism Certificate if you wish your child to participate in the Sacrament of Confirmation. ( Not needed if baptised in Corduff Parish)
PPS No
Psychological or other assessment reports if available.

40.

I/We confirm that all the above details are correct.

Signed:

Rules and Procedures

General School Rules

Be Gentle
Be Kind & Helpful
Be Honest
Work Hard
Look after Property
Listen to Others
Be Friendly

Specific School Rules

It is important to be on time for school.
It is important to wear the school uniform.
It is required that pupils complete their homework.
Pupils walk quietly around the school, and leave and enter the school building in single file.
Pupils and staff keep the school clean and litter free.
All absences of the pupils mush be explained to the class teacher by a parent/guardian (by note or phone call).
Any form of behaviour which interferes with the rights of others is unacceptable.
Pupils are required to follow the school’s Healthy Eating Policy.
Respect is required and school rules apply when coming to school and when going home from school.

Classroom Rules

Follow instructions immediately.
Complete your work well and on time.
Permission is required to speak during lessons.
Sit properly; permission is required to leave your seat.
Always have the proper school materials and use them only when needed.
Always allow others to do their work without interruption.
Keep your classroom tidy at all times.
Stay seated during wet day yard times.

Rules for Yard Behaviour

Follow directions from all staff immediately.
You must walk on entering and leaving the yard.
No rough play in yard, all weather pitch or on the field.
Do not re-enter the school building during the breaks unless given permission.
Keep away from the areas that are out of bounds (Junior School, barriers, outside the kitchen, bike shed, behind the prefab)
Wrapped food and drink are not permitted on the yard.
Lining up: all pupils walk to their class line, line up in a mannerly order and await their teacher.

Rewards

The main emphasis of the Code of Behaviour will be on affirming good behaviour. It is recognised that the procedures will be time-consuming, but constantly reprimanding pupils is also time-consuming, and does not appear to produce the desired effect.

If pupils follow the rules, they may earn as: Individuals and as a Class

Daily

Public praise

Star stamps on merit pages

Weekly

Golden time

Student of the week plaque / certificate (each class)

Letter of commendation to parents

Individual / group credits

Name entered in the Golden Box

Termly

Bronze, Silver or Gold Medal

Sanctions

The entire focus of the Code of Behaviour is on encouraging a positive classroom climate and rewarding good behaviour. However, when a class rule is broken, there is a clear and unambiguous sequence of steps to be followed.

Other sanctions

Pupils who misbehave frequently may not be allowed to participate in school outings for their own safety and that of the other pupils.
Referral to Principal
Individual behaviour plan and report

I have read the above and agree to abide by the Code of Discipline of St. Patrick’s Senior School, Corduff.

41. Pupils Name:

42. Class:

43. Parent's Signature:

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