in year primary school application form - welcome to the ... · in year primary school application...

DateReceived LondonBoroughofBexley

Inyearprimaryschoolapplicationform

Listening to you, working for you www.bexley.gov.uk

ThisformshouldbecompletedbyapplicantswhowishtoapplyforaplaceinaBexleyprimaryschoolafterthenormalpointofentrytoReception(orYear3forJuniorSchool).

IfyouwishtoapplyforschoolsoutsidetheLondonBoroughofBexleypleasecontacttheLocalAuthoritywheretheschoolislocatedtoobtainanapplicationform.

Please use BLOCK CAPITALS and complete ALL sections of this form

Section 1 – Child’s details

Surname: Firstname(s):

DateofbirthDay/month/year: Gender:M F

Child’shomeaddress:

Postcode:

Section 2 – Parent/carer details

Surname: Forename(s):

Mr/Mrs/Miss/Ms/OtherIfOtherpleasespecify:

Whatisyourrelationshiptothischild? IfOther,pleaseindicaterelationshiptothechild:

Mother/Father/FosterCarer/SocialWorker/Other Pleasedeleteasappropriate

IfyoudonothaveparentalresponsibilityforthechildnamedinSection1,pleaseprovideinformationonaseparatesheetofpaperaboutwhyyouaresubmittingthisapplicationandattachittotheform

Parent/Carer’shomeaddress:

PostCode:

Ifthisaddressisdifferenttothechild’sinSection1,pleaseexplainthereasonforthisonaseparatesheetofpaperandattachittotheform

Hometelephoneno:

emailaddress:

IsEnglishyourfirstlanguageYesNo

IfNoandyouneedhelpwithapplyingforaschool,pleaseindicatelanguagespokeninthehome:

Daytimeormobiletelephoneno:

Section 3 - Why are you making this application?

PleasetickrelevantboxtoindicateanswerYesorNo

Haveyourecentlymoved?Yes:No: ChildcurrentlyeducatedatHome?Yes:No:

IfYes,fromwhere?

Previousaddress:

PostCode:

Requestingtransferfromalocalschool? Hasyourchildbeenpermanentlyexcluded?

Yes:No: Yes:No:

IfYes,brieflyprovidereasonforthetransfer: IfYes,fromwhichschool(s)&address(es):

Pleaseprovidethereasonfortheexclusion:

Otherreasonforrequestingthetransferifnotcoveredinthesectionsabove:

Section 4: School history

Pleaselisttheschool(s)/pupilreferralunitthechildhasattendedbeginningwiththecurrentormostrecentschool,includingdatesattended

School/UnitName: DateStarted: Briefly,reasonforleaving:

Address:

PostCode:

School/UnitName: DateStarted: Briefly,reasonforleaving:

Address:

PostCode:

School/UnitName: DateStarted: Briefly,reasonforleaving:

Address:

PostCode:

Section 5 : Statemented or looked after children

DoesthechildhaveaStatementofSpecialEducationalNeeds?

IfYes,pleasespecifyschoolnamedintheStatement:

NameoftheLocalAuthority:

CaseOfficer’sName:

Isthechild,orhasthechildpreviouslybeen,subjecttoaLocalAuthorityCareOrder(iealookedafterchild)?

IfYes,pleaseprovidethenameoftheLocalAuthority:

SocialWorker’sName:

DateLeft:

DateLeft:

DateLeft:

Yes:No: Yes:No:

Section 6: Preferences -

YoumaylistuptosixBexleyschoolsinorderofpreference.Alltypesofschools(exceptprivateandindependent)maybeincluded.Forinformationabouttheoversubscriptioncriteriathatschoolsusetoprioritiseapplications,pleasealsorefertothecurrent‘AdmissiontoPrimarySchoolsinBexley’booklet.

Sibling:Ifthechildhasasiblingalreadyattendingoneofyourpreferredschools,pleaseprovidedetailstoenableconsiderationtobegiventothispriority.

Medical / Social:Ifyouwishtoapplyformedicalorsocialpriorityforanyofyourpreferences,pleaseprovideinformationintheReasonforPreferenceboxandattachsupportingevidencetoyourform.

Preference 1School Name Reasons for Preference (Optional)

Post Code of School

Details of any sibling(s) attending this school

Sibling Name

Date of Birth Gender

Preference 2School Name Reasons for Preference (Optional)

Post Code of School

Details of any sibling(s) attending this school

Sibling Name

Date of Birth Gender

Preference 3School Name Reasons for Preference (Optional)

Post Code of School

Details of any sibling(s) attending this school

Sibling Name

Date of Birth Gender

Preference 4School Name Reasons for Preference (Optional)

Post Code of School

Details of any sibling(s) attending this school

Sibling Name

Date of Birth Gender

Preference 5School Name Reasons for Preference (Optional)

Post Code of School

Details of any sibling(s) attending this school

Sibling Name

Date of Birth Gender

Preference 6School Name Reasons for Preference (Optional)

Post Code of School

Details of any sibling(s) attending this school

Sibling Name

Date of Birth Gender

A sibling is a full, half, step, or adopted brother or sister living at the same address.

Listening to you, working for you www.bexley.gov.uk

Section 7 : Declaration

• Iwishtomakeapplicationtotheschool(s)namedinSection6,whichIhavelistedinorderofmypreference.

• IconfirmthatIhaveparentalresponsibilityforthechildnamedinSection1

• TheinformationgivenonthisformiscorrecttothebestofmyknowledgeandtheaddressgiveninSection1isthechild’shomeaddress.IundertaketoadvisetheSchoolAdmissionsTeamimmediatelyofanychangeofaddressorcircumstancesbetweenthedateofapplicationandwhenIamnotifiedoftheoutcome.IunderstandthatchecksmaybemadeagainstrecordsheldbyLondonBoroughofBexleytoverifythedetailsIhavegivenonthisform,andthatImayberequiredtoprovidefurtherdocumentaryevidenceintheeventofdiscrepancies

• IunderstandthatifIhavegivenanyinformationthatisincorrect,theLondonBoroughBexleyreservestherighttowithdrawanyplaceoffered,whetherornotmychildhasstartedattheschool

• IunderstandthattheinformationIhaveprovidedwillbeusedforpurposesdefinedintheDataProtectionPublicRegisterandtheDataProtectionAct1998.IconsentthattheinformationIhaveprovidedcanbesharedwithschoolsandadmissionsauthoritiestoprocessmyapplicationandrelatedmattersarising.

• YourattentionisdrawntotheLondonBoroughofBexleywebsite(www.bexley.gov.uk)thatprovidesmoredetailsontheCouncil’sPrivacyNoticeandinformationmanagement.

Signed: Date:

Parent/Carer/ifOtherpleasespecify:

Supplementary information forms

Ifyouhaveincludedavoluntaryaided(Church)schoolinyourlistofpreferences,youmayhavetocompleteasupplementaryinformationformthatshouldbereturneddirecttotheschool.YoucanobtaintheformfromtheschoolorbyvisitingLondonBoroughofBexley’swebsiteatwww.bexley.gov.uk/admissions

In year primary school application form checklist

Pleaseremembertoenclosethefollowinginformationwithyourapplicationform:

• Yourlatestcounciltaxbillortenancyagreement

• Acopyofyourchild’sbirthcertificateorpassport

• Evidencethatyouarethechild’slegalguardian(ifapplicable)

Failure to provide this information, may delay your application.

Where to return this form

Bypostorinpersonto:SchoolAdmissionsTeamLondonBoroughofBexleyCivicOffices2WatlingStreet,Bexleyheath,KentDA67AT603975/6.14

Call02083037777andaskforSchoolAdmissionsTeamFax:02030454389

email:schooladmissions@bexley.gov.uk