Application Form for School Transport
Notes:
  1. The NCSE is provided with this informationto facilitate the allocation of additional resources to schools for students with special educational needs.
  2. The NCSE is required to keep and maintain these records for the purposes of identifying persons accessing additional resources and planning the provision of special educational and support services.
  3. This application form will be forwarded by the SENO to the School Transport Section, Department of Education and Skills, which will make a decision regarding the provision of transport and will endeavour to ensure, through Bus Éireann, that a reasonable level of transport service is provided for the student named below.
  4. The professional report(s) requiredto support an application must be submitted with this form.
  5. Schools must have the consent of the parent(s)/ guardian(s) to make the application.

  1. STUDENT DETAILS

Name of student / Gender / M / F
Home address
of student
PPSN / Date of Birth
Date Enrolled in School / Class( in school named below)
  1. SCHOOL DETAILS

Name of School
Address of School
School Roll Number / Phone Number
Email address / Name of Principal
C. PARENTAL/GUARDIAN CONSENT
I/We, the undersigned, being the parent(s)/guardian(s) of the above named student, confirm:
  • That this application has been discussed with me and that I am aware that copies of this form and attached documents will be kept on file in the school.
  • That I provide consent for the information in this form and attached documents to be shared with the NCSE.
  • That I am aware that, in the event of it being determined that a school nearer to my/our child’s home is or can be resourced to meet my/our child’s special educational needs, there is no obligation on the Department of Education and Skills to either arrange for a transport service or to pay a grant towards the cost of private transport arrangements to any other school.
Please refer to the terms of the School Transport Scheme for Children with Special Educational Needs.
Signed / Name / Date
Signed / Name / Date
Contact No. for Parent(s)/Guardian(s):
D. DECLARATION BY PRINCIPAL
I hereby confirm that:
  • the above named student is due to be enrolled or has already enrolled in this school.
  • I have discussed this application with the applicant’s parent(s)/guardian(s) and
  • this application is supported by the Chairperson of the school’s Board of Management.

Please tick  / YES / NO
(i) The required professional report(s) submitted meet with Department of Education
and Skills criteria.
(ii) School named at section B is the nearest to the child’s home that is, or can be, resourced to meet the child’s special educational needs under Department of Education and Skills criteria.
(iii) If NO, to either of the above, please provide informationbelow in respect of what basis the application is being madee.g. parental choice.
(iv) Please provide any information you may have which may assist in determining the transport
arrangement required. / YES / NO
Escort
Wheelchair access
Harness
Other e.g. specialised vehicle, please give details):
Additional information, e.g. school start and finish times
Signature of School Principal / Date
E. SPECIAL EDUCATIONAL NEEDS ORGANISER (SENO) REPORT
Please tick  / YES / NO
(i) The required professional report(s) submitted meet with Department of Education
and Skills criteria.
(ii) The School named at section B is the nearest to the child’s home that is, or can be, resourced tomeet the child’s special educational needs under Department of Education and Skills criteria.
Any further information, (if any), which is relevant to this application.
SENO Name / Date
SENO AREA

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NCSE Application Form 2