Student Application Form 2023/24

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
Please select this child's place in family
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.