Trial of practical assessment in Leaving Certificate Biology, Chemistry, Physics, 2017 Application by School to Participate This form is available to download from the schools section of . It should either be completed electronically and sent by to , or be sent in hard copy to Science Trial, State Examinations Commission, Cornamaddy, Athlone, Co Westmeath, N37 TP65. The form should arrive no later than 28 April 2017. Before applying, please read the accompanying Information note for schools on participation in the trial. For queries, please contact . CONTACT DATA Name of school: Address of school: School roll number: Principal: Contact science teacher: Mobile number of contact teacher: Email address for contact with the school for the purpose of this project: Date: SCHOOL DATA School opening hours (class time) from to Morning classes: from to Afternoon classes: Any additional note re opening hours (e.g. early closing day) Language of instruction: Gender of students: Mixed: All boys: All DEIS status: School is in DEIS: School is not in DEIS: Management: Voluntary Secondary: ETB: Community/Comprehensive: Total enrolment:
Trial of practical assessment in Leaving Certificate Biology, Chemistry, Physics, 2017 Application by School to Participate This form is available to download from the schools section of . It should either be completed electronically and sent by to , or be sent in hard copy to Science Trial, State Examinations Commission, Cornamaddy, Athlone, Co Westmeath, N37 TP65. The form should arrive no later than 28 April 2017. Before applying, please read the accompanying Information note for schools on participation in the trial. For queries, please contact . CONTACT DATA Name of school: Address of school: School roll number: Principal: Contact science teacher: Mobile number of contact teacher: Email address for contact with the school for the purpose of this project: Date: SCHOOL DATA School opening hours (class time) Morning classes: from to Afternoon classes: from to Any additional note re opening hours (e.g. early closing day) Language of instruction: Gender of students: Mixed: All boys: All DEIS status: School is in DEIS: School is not in DEIS: Management: Voluntary Secondary: ETB: Community/Comprehensive: Total enrolment:
EN-SC-15434063.docx