St. Paul's CBS Admission Application Form
It is essential that all of the information on this form be supplied, otherwise the application will not be processed.  Before starting this form it is important to note you will require a photograph of your signature and a clear photograph of your son's/daughter's birth certificate.
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Email *
Student's Surname *
Student's First name *
Student's PPS Number *
Student's Date of Birth *
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Student's Home Address *
Student's Eircode
What academic year are you applying for *
What Class are you applying for? *
Please supply a contact phone number for the first point of contact *
What is the relationship of contact 1 above to the student? *
If necessary please supply a phone number for a second contact. Contact 2
What is the relationship of contact 2 above to the student?
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What is the nationality of the student? *
What is the Student's Mother's Full Name? *
What is the Mother's Maiden Name
What is the Student's Father's Full name
What languages are Spoken at home *
What is the Student's Religion.
Please list any brothers / sisters currently in the school
Please list any medical conditions or allergies. Enter NONE if not applicable. *
Has the child any Psychological Assessments or reports *
Is the child currently working with a Social Worker or other agency? *
What is the name of their previous School *
What dates did the Student attend this school *
I/we as parent/guardian of this child consent to the principal of his previous school(s) to release appropriate and relevant information to the principal of St. Paul's CBS Primary School, North Brunswick Street, pertaining to our son/daughter in the event that they are contacted by the said principal. *
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