Review by Board of Management Request Form

• Published date: 22 October 2020
• Issuer: Department of Education

BOMR1

1

Review by Board of Management Request Form – Refused Admission

PLEASE ENSURE THAT YOU KEEP A COPY OF THIS COMPLETED FORM

The completed form must be submitted to the board of management within 21 calendar

days from the date of the decision to refuse admission to the school.

PLEASE USE BLOCK CAPITALS TO COMPLETE THIS FORM

1.School name:_________________________________________________________

2.School address: ________________________________________________________

____________________ _

3.Name of the applicant (parent(s)/guardian(s) or student if student is over 18):

____________________ _

4.Address of the applicant:_________________________________________________

___________________________________________ Eircode: ___________________

5.Contact phone number: __________________________________________________

6.Name of student: ____________________________________________________ __

7.Address of student (if different from address given above):

_____________________________________________________________________

_____________________________________________________________________

8.Date of birth of student: __________________________________________________

9.Class/Year to which admission has been sought (eg. Junior infants, 1st Year, name of

special class):

_____________________________________________________________________

10. Date of decision to refuse admission: ______________________________________