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TY Application Form 2021/22
Please complete the form in full and submit by Friday 12th March 2021
* Indicates required question
Student Name
*
Your answer
Please give the names of four friends you would like to be in class with.
*
Your answer
*
Your answer
*
Your answer
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
European Language studied for Junior Cert
*
Spanish
French
None
Parent/Guardian Details
Please provide email address and contact number for the parent/guardian we can contact in relation to TY activities
Name
*
Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Emergency Contact Details
Please provide the name and number of someone we can contact in case of emergency
Name
*
Your answer
Contact Number
*
Your answer
Medical Information
Do you have any medical conditions that the school need to be aware of?
*
Yes
No
If yes, please provide as much detail as possible
Your answer
Please select at least three of the following activities/teams/committees which you would like to be involved in during Transition Year
*
School Digital Champions
Junk Kouture
Sports Leadership Programme
ITLG - Irish Technology Leadership Group
Gaisce
BT Young Scientist
Green Schools Committee
Build A Bank/School Bank
Northern Trust Skill Building week
Look into Law Programme
STEM - Science, Technology, Engineering and Maths
GAA Future Leaders Programme
Other:
Required
In less than 50 words, explain why you would be a suitable candidate for St. Anne's Transition Year programme.
*
Your answer
Please read the following carefully and tick the box that applies
I give permission for my child to participate in ALL TY activities and trips.
*
Yes
No
I acknowledge that my child will sometimes be involved in unsupervised activities and/or off school premises eg. Bag packing, distribution of promotional literature, fundraising etc.
*
Yes
No
I give permission for my child's photograph to appear on the school website (
killaloecc.ie
) and school digital media platforms throughout the year. Students may also appear in local/national newspapers and other promotional materials.
*
Yes
No
I acknowledge that student attendance and participation in activities is mandatory in TY. Non compliance may result in their withdrawal from the programme.
*
Yes
No
Submit
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