URSULINE SECONDARY SCHOOL

Application Form for 2023 Entry

Please use this form where you are applying for your daughter to enrol at the Ursuline Secondary School for the 2023-24 Academic Year.

Applications will be accepted for the 2023-24 academic year from Monday 3rd October 2022 to 9pm on Monday 24th October.

Applications received after 9pm on Monday 24th October will automatically be placed on the waiting list. Families who are placed on the waiting list will receive a communication from the school as soon as possible after receiving the application has been processed.

Applicants will be notified in writing of the decision on their application during the week beginning Monday 24th October.

Applicants must confirm acceptance of an offer of admission by Monday 7th November 2022.

A copy of the school Admission Policy can be found BY CLICKING HERE

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Student's First Name *

Student's Surname *

Student PPS *

 

Expected Year of Entry *

Academic Group Year of Entry * Please Choose 1 2 3 TY 5 6

 

Student Date of Birth * Day 12345678910111213141516171819202122232425262728293031

  Month 123456789101112

  Year 200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023

 

Address *

Eircode

 

Country of Birth *

Religion

 

Mother's Full Name

Mother's Maiden Name

Mother's Mobile Number

Mother's Email

 

Father's Full Name

Father's Mobile Number

Father's Email

 

Guardian's Full Name (Where Appropriate)

Guardian's Mobile Number

Guardian's Email

 

Emergency Contact Name *

Relationship to Student * Please Choose Grandparent Extended family member Neighbour Other (Please State)

Relationship (Other)

Emergency Contact Number *

 

Mother/Guardian Past Pupil Please Choose Yes No

Year Left

 

Siblings in the School (Please name and separate by a comma)

 

Name /Address of Primary School

Current Class 6th Class

 

Name/Address of Secondary School (If applying for any year other than 1st year)

Current Year Please Choose 2nd Year 3rd Year TY 5th Year 6th Year

 

Should you wish to provide details of learning support previously received, please do so here. Please note this is optional and is not a requirement of the application process.

 

Exempt from Irish * Please Choose Yes No

 

Details of any serious illness you would like to make the school aware of. Please note this is optional and is not a requirement of the application process.

 

Family Doctor Name:

Family Doctor Surgery Name:

Family Doctor Number:

Applications for Admission to the ASD Class

The student must have a primary diagnosis of Autism/Autistic Spectrum Disorder, with a recommendation from a professional (Multi-disciplinary team) stating that a placement in a special class in a mainstream school is both necessary and suitable.

A recommendation must be provided to the school along with an application form during application window outlined in the annual admissions notice. Failure to provide a recommendation at this time will invalidate an application for the ASD class.

Please upload a copy of the recommendation below or post to Admissions, Ursuline Secondary School, Blackrock, Cork. (To arrive before Friday 28th October 2022)

Is your daughter applying for a place in the ASD class? Please Choose Yes No

Upload Recommendation:

 

Submit