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Special Classes Application Form

Thank you for choosing to apply to Stanhope Street Primary school.

Please enter your child's details in the form below and then click 'Send details to the school'.

Please see our admissions policy on our website. www.stanhopestreetprimary.ie

Please obtain a letter of eligibility from your local NCSE SENO before applying for a special class placement. Places can only be offered to children who have the sanction from the SENO for the the school year in which they are applying. Should your child be placed on a waiting list for a place, their personal data may be shared with the National Council for Special Education for the purposes of planning for the provision of special educational placements

Child

First name:* Last name:* Gender:* PPS Number:* Date of birth:* Previous school:* Note: Languages spoken at home: * Medical & allergy information: * Nationality: * Date your child arrived in Ireland (If not born here): * Religion: * Name of Preschool or Primary school attended: *

Has a sibling already in the school.

Yes No

You are pre-enrolling for: Autism class 2027 (closes 06/11/2026 23:59)

Family

Home phone number: Alt home phone number: Address:* Eircode:* Alternate address: Alternate address description:

Guardian 1 / Mother

First name:* Last name:* Email:* Mobile number:* Work number:

Guardian 2 / Father

First name:* Last name:* Email: Mobile number: Work number:

Emergency Contacts (other than parents)

Name: Description: Mobile number: Home number: Work number:

Attach files:

	Attached File	Explanatory note for parents

		Please attach a recent utility bill (gas or Electricity ) or bank statement with name and address visible on page as proof of address.
		Please attach the letter of eligibility received from your SENO
		Please attach a copy of your child's full report e.g Psychology, Speech and Language

Important

You will receive a reference number on successful submission of your application.
If you have input all of the required information above and you do not receive a reference number after submitting this form something may have gone wrong with your application and you should retry using a different browser.