"*" indicates required fields The Department of Education and Skills has developed an electronic database of primary school pupils called the Primary Online Database (P.O.D) which involves schools maintaining and returning data on pupils to the Dept at individual pupil level on a live system. The information will be used to evaluate progress and outcomes of pupils at primary level, to validate school enrolment returns for grant payment and teacher allocation purposes, to follow up on pupils who do not make the transfer from primary to post primary level and for statistical reporting. The database will hold data on all primary school pupils. The database will also contain, on an optional basis, information of the pupil’s religion and on their ethnic or cultural background. The data required for POD is marked with an asterisk * and will only be uploaded to POD if your child is enrolled. All other data we need for the efficient running of the school. This form will be retained by the school.Parent/Guardian(s) DetailsParent/Guardian Name(s)*Email* PhoneChild DetailsName of Child as on Birth Certificate*Date of Birth* DD slash MM slash YYYY PPSN of Pupil*Home Address* Street Address Address Line 2 County Eircode Nationality*Mother’s Maiden Name*Do you consent to uploading data relating to ethnicity and religion to P.O.D* Yes No Religious Denomination*To which ethnic or cultural background group does your child belong (please tick one)?* White Irish Irish Traveller Roma Any other White Background Black African Any other Black Background Chinese Any other Asian Other (inc. mixed background) No consent The following information is required for the efficient running of the school and will not be uploaded to PODDate & Place of Baptism*If baptism took place outside this parish please enclose a baptismal certAccepted file types: jpeg, jpg, png, pdf, doc, Max. file size: 20 MB. Irish Version of Child’s Name(otherwise school will translate)Does your child have any additional needs? (give details)Any previous playschool/school attendedAddress of playschool/schoolClass in which child was enrolled (if applicable)Has your child attended a Support Teacher? (If applicable)Mo ScéalDocument that transfers from Pre School to Primary, outlining a Child’s Development & LearningDo you consent for this document to be transferred to St. Joseph’s?* Yes No Medical DetailsName of family doctor*Childhood accident, illness, allergies or medical condition that school needs to be made aware of:Has your child attended any outside agency? e.g. Psychologist, Speech Therapist etc.Any other useful informationPlease indicate which placement you are enroling for* Mainstream ASD Class I declare that all information provided in this application is true and correct.*Please can the legal guardian(s) make a signature in the space above.Code of Behaviour Acceptance StatementWe expect parents and children enrolled in this school to co-operate with and support the school/ Board of Management’s Code of Behaviour as well as other policies on curriculum, organisation and management. These policies may be added to and revised from time to time. If you are happy to comply with school policies, please sign below.*Please can the legal guardian(s) make a signature in the space above.Please note the followingThe school should be made aware of any court order(s) that are in place relating to any aspect of Guardianship, Custody or Access. In this regard a letter from a Solicitor, confirming the relevant aspects of the court order should be supplied to the school. Under Children First Guidelines if we have reasonable concerns for the welfare or protection of any pupils we have a duty to convey all information to Tusla - Child & Family Agency.