S.I. No. 330/2020 - Education (Welfare) Act 2000 (Prescribed Form) (Section 14) Regulations 2020

1. Details of child

Surname (as on birth cert)

First name(s) (as on birth cert)

Date of birth

Gender

Home address

Eircode

2. Details of parent(s)

Throughout this document the term “parent,” in line with the use of the word in the

Education Act 1998

, section 2 and the

Education (Welfare) Act 2000

, should be taken to mean parent, guardian, foster-parent, a person acting

in loco parentis

who has a child in his/her care subject to any statutory power or court order, or a person who has adopted a child.

PARENT/LEGAL GUARDIAN 1

Title

First name(s)

Surname

Home address (if different to above)

Telephone (include local code)

Mobile

E-mail

PARENT/LEGAL GUARDIAN 2

Title

First name(s)

Surname

Home address (if different to above)

Telephone (include local code)

Mobile

E-mail

3. Details of guardian(s)/foster parent(s) (if appropriate)

Surname

First name(s)

Relationship to Child

Home address (if different to above)

Telephone (include local code)

Mobile

E-mail

4. Additional information

Have you previously applied to the Section 14 Register for this child? Yes □ No □

Are any sibling(s) of this child currently on the Section 14 Register, or have you applied for any sibling(s) of this child? Yes □ No □

If yes, please supply details

5. Previous education history-

Please tick one of the following

□ New application for child that has recently turned 6 years old.

□ Previously home educated

Dates of home education: ________________________________

□ Previously educated in a school (Department of Education and Skills, Independent School or school in another jurisdiction)

If the child has attended any school(s) please give details of the last school attended

Full name of school

Principal

Address

Telephone (include local code)

E-mail

Date child was enrolled in the school, and year level (if applicable).

Date on which child left the school, and year level (if applicable).

6. Additional Learning and Support Needs

Does your child have any learning needs or additional support needs? Yes □ No □

If yes, outline summary of need below

Has the learning/support need has been formally assessed? Is child currently engaged with support services currently? Please provide details.

7. Location where the delivery of the education will occur

-

Please complete the relevant section.

a)

Independent School or Centre of Education

-

Please provide the details of the school providing or planned to provide the delivery of the education provision.

Independent School Name

Principal/Director

Date child commenced/due to commence at school

Date child due to leave school

Postal address

Eircode

Telephone (include local code)

Mobile

E-mail

b)

Home Education

-

Please provide the address of the location where the education will be provided. Please include details of the person/s who will be providing the delivery of the education provision.

Address

Person 1 – Education Provider

Title

First name(s)

Surname

Telephone (include local code)

Mobile

E-mail

Relationship to child

Person 2

if applicable

Title

First name(s)

Surname

Telephone (include local code)

Mobile

E-mail

Relationship to child

PART B

(Home Education Applicants only)

8. Time devoted to education of child / Time proposed to be spent on education of child

The informal or semi-informal nature of home-based education may make it difficult to estimate accurately the amount of time allocated to learning. However, some information under the headings below may be useful in establishing the general pattern of the educational provision. If possible, please supply information on

•

the time allocated/to be allocated to the education of the child.

•

whether learning is provided for in an open-ended manner, or whether learning activities are scheduled, or partly scheduled, using a timetable following a daily/ weekly/ monthly pattern.

•

the estimated number of days during the year on which education is/will be provided.

•

if any records are/will be maintained of the time/periods/days devoted to education.

9. Equipment and materials

Please provide brief details of some of the main items/publications/materials used to support the child’s learning. These may include curriculum documents, specialised educational equipment, reference materials/text books, or everyday objects and materials including books, magazines, toys, videos etc.

10. Educational activities

Please give a brief account of the educational provision made /to be made for the child’s learning including

•

Provision for the development of literacy and numeracy skills; physical skills; social, emotional and moral.

•

What are the main areas of learning for which provision is/will be made?

•

What type of education is being/will be provided? Do any particular principles or philosophies inform the education?

•

What approaches or methods are/will be used to facilitate learning? (e.g. autonomous learning, semi-structured approaches, structured learning, a mixture of these)

•

If the education provided is based on any published curricula or learning programmes, please give details.

NOTE: Meeting the requirements of a ‘certain minimum education’ does not mean that a child must follow any particular curriculum delivered in a school setting. However, if a child were to return to a formal school-based education at primary or post-primary level at any stage, parents/guardians, in planning a home education programme for their children, should be conscious of the curriculum requirements, and teaching and learning structures to which they may return.

11. Monitoring progress

Please give a brief account of how the child’s progress is /will be monitored. Some points to consider may be

•

How is/will the child’s progress be monitored/assessed?

•

Are/will any records be maintained of the child’s progress?

•

What consideration has been given to how the learning needs of the child are/will be met over a period of time and whether plans are/will be recorded?

12. Declaration

I/We declare that

• The information provided on this application form is true and accurate.

• That both legal guardians have provided their personal details and contact information and have signed this application form.

I/We understand

• That in considering this application for registration, the Agency will arrange for an assessment to determine whether the education provision in place or proposed for the child, satisfies the requirements of a certain minimum education [

s.14(5)(a,b,c) Education (Welfare) Act 2000

].

• That as part of an application for home education assessment, that an authorised officer will verify the information provided in Part B above.

• That in order to ensure that the child continues to receive a “certain minimum education”, the Agency will carry out further assessments, and these assessments will be notified in advance [

s.14 (7) Education (Welfare) Act 2000

].

• That if, on receipt of the assessment report, the agency is unable to determine that a certain minimum education is being provided or likely to be provided, the Board may proceed to a further assessment [

s.14(5)(i,ii,iii) Education (Welfare) Act 2000

].

• That all assessment(s) will be conducted in accordance with any guidelines issued under Section 14,15 and 16 of the Education Welfare Act 2000.

• That I/We will offer every assistance to an authorised person (assessor) in assessing the education provision in place or proposed for the child.

I/We consent

• For the Agency to have an authorised person conduct assessment(s) of the education in place or proposed for the child who is the subject of this application.

• For the Agency to verify any information provided on this application form.

Signature Guardian 1

___________________________

Date ___________

(Print Name Here)

Signature Guardian 2 ________________________ Date____________

(Print Name Here)

All legal guardians must sign this form in order for the application to be processed.

Tá leagan Gaeilge den fhoirm seo ar fáil ach é a iarraidh.

Registration of Children Receiving Education in Places other than a Recognised School

under

Section 14

of the

Education (Welfare) Act 2000

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of

4

th September,

2020.

I, Roderic O‘Gorman TD, Minister for Children and Youth Affairs, in exercise of the power conferred on me by

section 14

of the

Education (Welfare) Act 2000

(No. 22 of 2000), hereby make the following Regulations