Page 12 - incoming 1st year booklet
P. 12

Gorey Community School Book Grant Scheme 2015-2016



                          Parental / Guardian Information.                                                                        Telephone no:  _____________________

                          Full Name(s)_______________________                                                                     Signature: _________________________


                          Address: __________________________                                                                     Date: _____________________________

                          _________________________________




                          How many school going children do you have in your family?                                                      ________________

                          How many of these will be enrolled in Gorey Community School in September 2015.                                 ________________

                          Do you have a Family medical card?                                                                              ________________


                          Please fill in the details for each child you are seeking assistance for, in relation to their book costs for 2015/2016.


                          Student’s Surname                       Student’s First Name                        Medical Card Number                        Year Group for coming year 2015/2016

                                                                                                                                                                            nd
                                                                                                                                                                       st
                                                                                                                                                                                        th
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                                                                                                                                                                                rd
                                                                                                                                                         Pick from 1 , 2 ,3 ,5 ,6 , or LCA












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                                                               RETURN APPLICATION FORM NO LATER THAN Monday 18  May 2015.
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