Introduction

Please read our Admissions Policy prior to application. The purpose of this Application Form is to register your details for consideration of a place in First Year in our school 2025/2026.
Please ensure that all sections are complete.
Completion of this application does not guarantee admission. The school does not take any responsibility for application forms not received.
All of the information that you provide in this application form is taken in good faith. If it is found that any of the information is incorrect, misleading or incomplete, the application may be rendered invalid.
Please understand that it is your responsibility to inform the school of any change in contact information or circumstances relating to this application.
For information regarding how your data is processed and stored by the school, please go to the school’s Data Protection Policy on the school website.

Applicant Details

APPLICANT DETAILS

Please answer the questions below in relation to the child you are applying for a place at this school.

Surname*

First Name (s)*

Name on Birth Certificate*

Date of Birth*

Country of Birth*

Gender*

Postal Address (for school correspondence)*

County*

Eircode*

PPS Number*

Mother’s Maiden Name*

Parent/Guardian Details

PARENT/GUARDIAN DETAILS

Parent/Guardian 1

Prefix*

First Name (s)*

Surname*

Postal Address*

Same as applicant

Eircode*

Same as applicant

Telephone Number*

Email*

Confirm Email*

Relationship to Applicant*

Parent/Guardian 2

Prefix

First Name (s)

Surname

Postal Address

Same as applicant

Eircode

Same as applicant

Telephone Number

Confirm Email

Relationship to Applicant

School correspondence should be addressed to:

Parent/Guardian 1

Parent/Guardian 2

Both

School Information

Confirmation & Acceptance

CONFIRMATION & ACCEPTANCE

I confirm that the Code of Behaviour for the school is acceptable to me as the student’s parent/guardian and I shall make all reasonable efforts to ensure compliance by the student if they secure a place in the school.
I confirm that all of the information supplied in this Application Form is complete and correct.
I understand that it is my responsibility to inform the school of any change in contact information or circumstances relating to this application.

Please tick the box if you have understood and accept the above.

Parent/Guardian 1

Parent/Guardian 2

Date

Electronic Signature

St. Raphaela's Secondary School

Application Form for Admission 2025/2026

Introduction

Introduction

Applicant Details

APPLICANT DETAILS

Parent/Guardian Details

PARENT/GUARDIAN DETAILS

Parent/Guardian 1

Parent/Guardian 2

School correspondence should be addressed to:

School Information

SCHOOL INFORMATION

1. Is your Daughter currently attending St Raphaela's Primary School ?

2. Has the applicant any siblings currently enrolled in St. Raphaela's Secondary School?

3. Has the applicant any siblings who previously attended St Raphaela's Secondary School from First Year to Sixth Year inclusive?

4. Are either of the parents/guardians a past-pupil of St. Raphaela's Secondary School?

5. Does your Daughter reside in the parish of St Laurence O’Toole, Kilmacud.

6. Does your Daughter live within a 5 km radius of the school.

Current school of the applicant

OTHER RELEVANT INFORMATION

Confirmation & Acceptance

CONFIRMATION & ACCEPTANCE