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Scoil Oilibheir Scoil Oilibhéir is a large co-educational primary school situated in Ballyvolane, Cork.

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Scoil Oilibhéir Enrolment Form- ASD Class

Should you have any questions when filling out the Enrolment Form, feel free to contact the school on 021-4309171

Step 1 of 2

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Date of Enrolment to Scoil Oilibéir
DD slash MM slash YYYY
Child's Details
Name
Date of Birth
DD slash MM slash YYYY
Religion
Address
Family Details
Mother's Name
Address
Occupation
Place of Work
Work No.
Home Phone No.
Mobile No.
Father's Name
Address
Occupation
Place of Work
Work No.
Home Phone No.
Mobile No.
Who does the child live with?
- Mother/Father
- Mother
- Father
- Other
In the interest of the child, are there any particular family circumstances which the office would need to be made aware of?
- Yes
- No
If yes, please inform the Principal. Please note all information will be treated in the strictest confidence.
Number of Children in the Family
Does your child have siblings in the school?
- Yes
- No
If yes, please give details of names and classes.
Text a Parent

The school sends notes home to parents to keep them informed of events in the school. The "text-a-parent" facility is used to complement this, and is also used in the event that an urgent matter needs to be brought to the attention of the parents. Please indicate which telephone no. you would like the texts to go to.
Childminder's Details
Childminder's Name
Telephone Number
Doctor's Details
Doctor's Name
Address
Telephone Number
Emergency Contacts
Should we be unable to contact you, please supply the names of two people- one of whom could be contacted in an emergency.
Name 1
Relationship to the child
Phone Number
Name 2
Relationship to the child
Phone Number
In the event that we are unable to contact you or your emergency contact nominees; do we have permission to seek professional medical advice? (i.e. a GP or Hospital?
- Yes
- No
Medical History
ONCE YOU HAVE SUBMITTED THIS FORM PLEASE SEND ALL RELEVANT REPORTS TO THE SCHOOL SECRETARY IMMEDIATELY. ONCE WE RECEIVE ALL RELEVANT REPORTS WE WILL PROCESS YOUR APPLICATION.
Is your child on any long-term medication?
- Yes
- No
If "yes" please give details
Has your child any known allergies
- Yes
- No
If "yes" please give details
If your child suffers from any allergy which requires the administration of medication please give details below.
Does your child have any other condition/illness/special needs which you feel could affect your child during the school day and should be brought to the attention of the class teacher?
- Yes
- No
If "yes" please give details
Are you in receipt of Domiciliary Allowance?
- Yes
- No
Parents of child with ASD may qualify for same

Reports
ONCE YOU HAVE SUBMITTED THIS FORM PLEASE SEND ALL RELEVANT REPORTS TO THE SCHOOL SECRETARY IMMEDIATELY. ONCE WE RECEIVE ALL RELEVANT REPORTS WE WILL PROCESS YOUR APPLICATION.
Does your child have a current Multi-Disciplinary Report (i.e. report from Speech Therapist, Occupational Therapist and Psychologist)
- Yes
- No
Please give details
ONCE YOU HAVE SUBMITTED THIS FORM PLEASE SEND ALL RELEVANT REPORTS TO THE SCHOOL SECRETARY IMMEDIATELY. ONCE WE RECEIVE ALL RELEVANT REPORTS WE WILL PROCESS YOUR APPLICATION.
What is the date of your child's latest Psychological Assessment?
Has your child had Speech Therapy
- Yes
- No
If yes, please give details
ONCE YOU HAVE SUBMITTED THIS FORM PLEASE SEND ALL RELEVANT REPORTS TO THE SCHOOL SECRETARY IMMEDIATELY. ONCE WE RECEIVE ALL RELEVANT REPORTS WE WILL PROCESS YOUR APPLICATION.
Has your child had a sight test?
- Yes
- No
If yes, please give details
ONCE YOU HAVE SUBMITTED THIS FORM PLEASE SEND ALL RELEVANT REPORTS TO THE SCHOOL SECRETARY IMMEDIATELY. ONCE WE RECEIVE ALL RELEVANT REPORTS WE WILL PROCESS YOUR APPLICATION.
Has your child had a hearing test?
- Yes
- No
If yes, please give details
ONCE YOU HAVE SUBMITTED THIS FORM PLEASE SEND ALL RELEVANT REPORTS TO THE SCHOOL SECRETARY IMMEDIATELY. ONCE WE RECEIVE ALL RELEVANT REPORTS WE WILL PROCESS YOUR APPLICATION.
Mobility
Does your child have any needs with regard to mobility?
- Yes
- No
If yes, please give details
Has your child had access to Physiotherapy?
- Yes
- No
If yes, please give details
ONCE YOU HAVE SUBMITTED THIS FORM PLEASE SEND ALL RELEVANT REPORTS TO THE SCHOOL SECRETARY IMMEDIATELY. ONCE WE RECEIVE ALL RELEVANT REPORTS WE WILL PROCESS YOUR APPLICATION.
Has your child access to Occupation Therapy?
- Yes
- No
If yes, please give details
ONCE YOU HAVE SUBMITTED THIS FORM PLEASE SEND ALL RELEVANT REPORTS TO THE SCHOOL SECRETARY IMMEDIATELY. ONCE WE RECEIVE ALL RELEVANT REPORTS WE WILL PROCESS YOUR APPLICATION.
Self Help Skills
To help us get a clearer picture of your child's needs so that we can plan for his/her entry to school, the following information is required:
Has your child any special dietary requirements/food allergies/food intolerances?
- Yes
- No
If yes, please give details
Does your child have any sensory issues around feeding?
- Yes
- No
If yes, please give details
Can your child feed him/herself unaided?
- Yes
- No
- Third Choice
Give details of how much assistance with feeding he/she requires
What treats does your child really enjoy?
Crisps, popcorn, jellies, drinks etc?
Give details of how much assistance your child requires with dressing
Is your child toilet trained?
- Yes
- No
Currently, at what level is your child's communication?
E.g. gesture, pictures, single words, sentences, other?
How would you describe your child's ability to interact with others?
- Very sociable
- Sociable
- Avoids interaction
Does your child have any difficulty with regard to sleeping?
- Yes
- No
How does your child show distress?
Does your child get distressed in specific environments/ situations?
How would you describe your child's general behaviour?
- Very challenging
- Challenging
- Not Challenging
Have you found any particular calming strategies which work well with your child?
Are there any special toys, items, DVD's etc. used for comfort by your child?
Does your child have any topics of special interests? E.g. Thomas the Tank, dinosaurs etc.
Any other comments or guidance that would help the teacher/ school?
Travel Arrangements
How will your child travel to school?
- Dropped off by parent
- Dropped off by relative
- Dropped off by Minder
- Taxi
Will there be a need for transport to be provided for your child?
- Yes
- No
What are your child's transport needs with regard to seatbelts/harnesses and behaviour on transport?
Your child's placement in an ASD class will be reviewed at the end of each school year. In consultation with the Multi-Disciplinary team the school will advise you on the future schooling needs of your child. Please note that placement in An Droichead (ASD class) does not entitle your child to an automatic placement in the Mainstream School.
The information I have given in this form is accurate
- Yes
- No
If any of the details on this form change, for example, if you move house, change your number, etc, would you please inform the school at the earliest opportunity. Once you have submitted this from please send all relevant reports to the school secretary immediately. Once we recieve all relevant reports we will process your application.
Thank you for filling out this Enrolment Form. Any questions or queries you may have, please do not hesitate to contact the school on 021 4309171

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Contact Us

Scoil Oilibhéir, Ballyvolane, Cork.

Tel: 021-4309171
Fax: 021-4304415
Email: info@scoiloilibheir.ie

The Office is open daily from 8.45 am to 3.15 pm.

Please note that the Office closes daily for lunch from 13.15 pm to 13.45 pm.

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About Us

Scoil Oilibhéir is a large co-educational primary school situated in Ballyvolane, a northern suburb of Cork City. Since first opening its doors in 1983, the school has expanded and grown. At present the school has over 700 pupils and a staff of forty teachers and seven Special Needs Assistants.
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Contact Us

Scoil Oilibhéir,
Ballyvolane,
Cork.

Tel: 021-4309171
Fax: 021-4304415
Email: info@scoiloilibheir.ie

The Office is open daily from 8.45 am to 3.15 pm. Please note that the Office closes daily for lunch from 13.15 pm to 13.45 pm.

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