In-Year Common Application Form printable pdf download

In-year common application form

(ICAF)

Pupil ID Number:

 Please use black ink and BLOCK CAPITALS and tick any boxes that apply.

(office use only)

 Please carefully read the guidance notes in the ‘Finding a school place’ booklet

Admissions Date Stamp

available from before filling in this form.

(office use only)

 You must fill in section A and Section B should be filled in by the child’s

previous school in the UK.

 Once you have filled in all sections of the form you must sign the declaration,

and return your application and the documents we ask for.

 If you post your application, please do so using the details at the end of this

form, we advise doing this by registered post.

Parental Declaration

 I confirm that I am the person with parental responsibility for the child named in section A1.

 I have fully read and understood your admission criteria and want to apply for a place at each of the schools listed in

section A5, and will list these schools in order of preference. This means that I no longer want to apply for any schools

that I named on any previous forms and which I have not named on this form. The ranking of my preferred schools on

this form is my current ranking, so please ignore any previous ranking order.

 I believe the facts I state in this application to be true and accurate.

 I understand that if I give false or deliberately misleading information on this form or supporting information, then this

application will no longer be valid and may be a criminal offence. This could result in the withdrawal of the school place

offer and/or prosecution.

 I am aware that if I intentionally provided false or misleading information in this application, there may be a financial loss

to Havering Council due to the expense of funding a school place for my child.

Section A (To be filled in by parent or carer)

1. Childs details

First name:

Last name:

Date of birth:

Day

Month

Year

Sex:

Year Group:

Home address and postcode

(A child’s home address is defined as the child’s normal place of residence, and excludes any

business, relative’s or child-minder’s address. Where there is a formal residence order or child arrangements order a copy of the order

will be required to identify which address is to be used).

Postcode

When did you move to this address?

Year

Day

Month

Previous home address:

Postcode



Name of child’s current or previous school:

Is the child still attending this school?

Yes

Address and postcode of current or previous school:

2. Children with additional needs

Yes

Does your child have a full statement of SEN or Educational Health Care Plan (EHCP) ?

Yes

Does your child have any other needs you feel we should know about?

If ‘Yes’, please give details.

In-Year Common Application Form

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