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Primary Registration
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*
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You are about to register for the FUSE
Primary
programme. If you want to register for the Post-primary programme, please
click here
.
School Profile Details
School Roll Number
*
School Official Name
*
School Address
*
Please include the county and Eircode.
County
*
School Email Address
*
Enter Email
Confirm Email
School Phone Number
*
School Principal's Name
*
School Principal's Email Address
*
Enter Email
Confirm Email
School Principal's Mobile Number
School Deputy Principal's Name
*
School Deputy Principal's Email Address
*
Enter Email
Confirm Email
School Deputy Principal's Mobile Number
School Type
*
Denominational
Educate Together
Non Denominational
Multi Denominational
Gaelscoil
Choose one or more school types as appropriate
DEIS Status
*
Is your school assigned DEIS Status?
Please choose
Yes
No
Pupil Attendance Type
*
Please choose
Boys
Girls
Mixed
Please choose from dropdown
Urban or Rural School
*
Please choose
Urban
Rural
Please choose from dropdown
Total Number of Students in the School
*
FUSE Programme Details
Kindly provide the FUSE central point of contact details as follows:
FUSE Coordinator Name
*
FUSE Coordinator's Email Address
*
Enter Email
Confirm Email
FUSE Coordinator's Mobile Number
Approximate number of students in the school who will be participating in FUSE
*
Consent
I understand that by checking the below consent box, I confirm that :
the above detailed school will deliver the FUSE Programme this coming year
ABC will have authorised access to the personal information provided which will only be used to contact the school with regard to FUSE Programme & to create the school profile
ABC may contact the school with relevant material via phone, email & post
Consent Checkbox
*
I agree to the above.
*
Registration Authorisation
Registration Authorisation Checkbox
*
I have the authority to register our school for the FUSE Programme.
*
Name
*
First
Last
Email Address
*
Enter Email
Confirm Email
Role
*
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Phone
This field is for validation purposes and should be left unchanged.
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Username OR Email Address
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Submit
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*
Username
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Please enter valid data.
This username is already registered, please choose another one.
This username is invalid. The username cannot contain any spaces or special characters.
*
Password
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Please enter at least 6 characters.
Strength: Very Weak
*
First Name
First Name can not be left blank.
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This first name is invalid. Please enter a valid first name.
*
Last Name
Last Name can not be left blank.
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This last name is invalid. Please enter a valid last name.
*
Email Address
Email Address can not be left blank.
Please enter valid email address.
Please enter valid email address.
This email is already registered, please choose another one.
Phone Number
Text field can not be left blank.
Please enter valid data.
*
School Name
Text field can not be left blank.
Please enter valid data.
*
School Roll Number
Text field can not be left blank.
Please enter valid data.
*
School Address
This Field can not be left blank.
Please enter valid data.
*
How many students will be taking part in the programme?
Text field can not be left blank.
Please enter valid data.
*
Your Role in the School
Text field can not be left blank.
Please enter valid data.
By clicking the box below you agree that:
* Your school/students will participate in FUSE this coming year
* ABC will have access to the personal information that you have provided, this will only be used to contact you and create your profile.
* ABC may contact you with relevant materials in forms of e.g. emails and newsletters.
*
Consent
I consent
Please check atleast one option.
Please enter valid data.
Submit
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