Student Application Form 2021/22 Pupil's First Name (as per Birth Certificate) Pupil's Surname Address Phone number Date of birth Present School Mother's Name Father's Name Number of children in family 123456789 Please select this child's place in family 123456789 Brothers/Sisters in attendance at Terence MacSwiney Community College YesNo If Yes, please indicate names and the year they are currently in 1: 2: 3: 4: Brothers/Sisters Past Pupils of Terence MacSwiney Community College YesNo If Yes, please indicate names and the year they left 1: 2: 3: 4: Any other relevant information you may wish to supply Data Protection Statement Acknowledgement By applying for and/or attending a CETB school/college/programme, I acknowledge that CETB may process my personal data (e.g. name, address, contact details, education), including sensitive personal data (where I opt to provide this information e.g. racial or ethnic origin) that CETB collects about me in connection with my application for and attendance on a CETB education/training programme. I acknowledge that CETB may share my personal data (including my sensitive personal data) within your organisation and also with third parties in the education sector as well as other third parties listed in Section 3 of CETB's Data Protection Policy. I acknowledge that I have reviewed CETB's Privacy Statement which sets out the full details regarding the processing of my personal data. I understand that I may also address any questions, comments and requests regarding CETB's data processing practices at dataprotection@corketb.ie. Footnote The Privacy Statement and Data Protection Policy referred to above are available at: Privacy Statement Data Protection Policy. I wish to have the above-named child considered for registration in Terence MacSwiney Community College. I accept that this is an Application Form and not a Registration Form.
