Workshop Application Form 2023-24 RETURNING STUDENTS

Workshop Application Form 2023-2024 (RETURNING STUDENTS)

This form is to be completed by a parent/guardian of the dyslexic young person – you will be the ongoing contact person.

APPLICATION PROCESS:
Step 1: Complete the application form. To do this you will need 3 pieces of information:
1. Your DAI membership number. [You must be a DAI member to apply for a place in a Workshop. If you wish to renew your DAI membership or become a member please go to DAI Membership or if you have forgotten your membership number please email membership@dyslexia.ie.
2. Either the Psychological Assessment Report or evidence from the school confirming that your young person is dyslexic. [If you have any questions about this please contact the local Workshop Coordinator.] You need to be on a device where you can access these documents to upload them; it is best to do this on a computer rather than a phone. You may upload up to 3 files. The maximum file size for each is 256Mb, and the accepted file formats are: pdf, doc, jpg, gif and png.
3. A second contact person in case of an emergency (you will be the first emergency contact person) and essential medical information relating to your young person that needs to be shared with the Workshop staff.

Step 2: As a returning student, your young person's place will be retained once you submit this form. The Coordinator will be in touch with you in late August/early September with details on the coming term.

Step 3: Fee Payment. As usual, fee statements & invoices will be emailed to you after the start of each term (autumn & spring). The fees are approximately €30 per workshop evening/morning session but the precise cost will be confirmed when the workshop starts in the autumn. Fees must be paid in full before the end of each term.

If you are experiencing financial challenges you can apply for Fee Support. You can do so by submitting the DAI Worksop Fee Support Form (which includes information on eligibility).

1. Choose your Workshop from the dropdown menu by selecting the county first and then your specific workshop in that county.(Required)
2. Enter your young person's first name(Required)
3. Enter your young person's surname(Required)
4.a. Using the dropdown menu indicate your young person’s age in September 2023(Required)
4.b. Using the dropdown menu indicate your young person’s class in September 2023(Required)
5. Enter parent/guardian’s first name(Required)
6. Enter parent/guardian’s surname(Required)
7. Enter parent/guardians's email(Required)
Enter Email Confirm Email
8. Enter parent/guardian’s contact phone number(Required)
You will be the main contact, as well as the first emergency contact. For this reason you must enter a mobile number which you can be contacted on during workshop hours.
9. Enter the second contact person's first name(Required)
10. Enter the second contact person's surname(Required)
11. Enter the second contact person's phone number(Required)
The second contact person will be the second emergency contact. For this reason you must enter a mobile number which they can be contacted on during workshop hours.
12. Enter your DAI Membership number below.(Required)

You must have up to date DAI membership to participate in a DAI Workshop. If you wish to renew your DAI membership or become a member go to the DAI website membership page. If you have forgotten your membership number email please membership@dyslexia.ie
13. Which form of supporting document are you uploading below to confirm that your young person has a dyslexic profile?(Required)
- Psychological Assessment Report
- School Information
Please now upload your supporting document(s). This must be done on a PC or laptop (it is usually not possible on a mobile device).(Required)
Drop files here or

Accepted file types: pdf, doc, jpg, gif, png, Max. file size: 256 MB, Max. files: 3.
14. Any other disabilities or needs?

Please let us know of any other disabilities or neurodiversity your young person experiences that the workshop staff need to be aware of.
15. Any significant heath issues?

Please let us know of any significant health issues your young person has that the Workshop staff need to be aware of, and/or details of medication that they are currently taking.
16. Consent (medical emergency)(Required)
I consent to the medical/emergency policy outlined below.
In the event of an emergency and where every effort has been made to get in touch with either yourself or the second emergency contact, I hereby give permission for my young person to be taken by ambulance to hospital and there to receive any urgent medical/surgical attention deemed necessary in such an emergency.
17. Declaration - I can confirm that all the information in this form is accurate. I understand that all this information is treated confidentially by the Dyslexia Association of Ireland as part of this application for my young person to attend a DAI workshop. I understand that if my young person is not being offered a place all my information will be destroyed in accordance with GDPR.(Required)
- Yes
Phone
This field is for validation purposes and should be left unchanged.

Workshop Application Form 2023-24 RETURNING STUDENTS

Workshop Application Form 2023-2024 (RETURNING STUDENTS)

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