in year primary school application form - welcome to the ... · in year primary school application...
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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:[email protected]