Junior Cycle - Religious Education


Professional Development Service for Teachers

Religious Education Support





Course Registration form


Closing date for application is one week before the commencement of each course



Photocopy as necessary  -  One applicant per form



Name:  _______________________________________________________________________



Mobile Number: ______________________________________________________________



E-mail:  ______________________________________________________________________



School Name:  _______________________________________________________________



School Address:  ____________________________________________________________






School Phone/Fax:  __________________________________________________________



School Email: _______________________________________________________________



School Roll No:  ____________________________________________________________



Title of Cuurse: ____________________________________________________________



Course Venue:  ___________________________________________________________ (Education Centre)



Date of Course:  ___________________________________________________________



Applicants Signature: ______________________________________________________



Application Date:  __________________________________________________________



Teaching Council Number: _________________________________________________


Please indicate below whether or not you are teaching Junior Certificate Religious Education or Leaving Certificate Religious Education for State examination:


I teach Junior Certificate Religious Education for examination        Yes                        No    


I teach Leaving Certificate Religious Education for examination     Yes                        No 


Please complete, sign and return this form to Angela Thompson (R.E. Administrator), Co. Wexford Education Centre, Milehouse Road, Enniscorthy, Co. Wexford or email to angelathompson@pdst.ie  or fax to 053 923913


Data Protection: The Department of Education and Skills will treat all personal data you provide on this form as confidential and will use it solely for the purpose intended. The information will only be disclosed as permitted by law or for the purposes listed in the Departments registration with the Data Protection Commissioner - REF 10764/A