Key Information Memorandum & Common Application Form

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GLOUCESTERSHIRE IN YEAR ADMISSIONS COMMON APPLICATION FORM
You must complete this form and return to your preferred school to request a school place
CHILD’S DETAILS
PERMANENT HOME ADDRESS
SURNAME
Please supply proof of your address – see note 2.
FIRST NAMES
MALE/FEMALE
DATE OF BIRTH
Dd/mm/yy
If you are moving house, please give your new address and
Current Year Group
the date of your house move – see note 2:
Current or last
school name and
phone number
Tel:
Date school place is
Is your child
Date last
Yes
No
required
currently in school?
attended school
Date of application
Your Child’s Nationality
Preferred Gloucestershire School – T
ransport assistance is usually only given to your nearest school.
If you move to a school further away from your current address you may lose any entitlement.
Name of school
Reason for preference
If your child has a sibling* who is already attending a school which you are applying for, please give
details below in order to clarify family connections.
*For definition of ‘sibling’ please see schools over subscription criteria or admissions policy, available on their website.
Name of School
Brother or Sister (full names)
Date of Birth
Year Group
Date started
Does your child have a Statement of Special Educational Needs?
Yes
No
n.b. this does not include School Action or School Action Plus categories.
Is your child in the care of a Local Authority? If so, please give details below.
Yes
No
Does your child have a Social Worker? If so, please give details below.
Yes
No
Name of Social Worker and contact details.
Name of Local Authority responsible for your child’s care
Date received by LA/School
For school use only
Yes
No
Expected start date:
School place offered
If place NOT offered, have parents
Any additional information given to parents:
been advised of appeal process
Parent referred back to In Year
Date referred:
Admissions
Number of pupils on Roll in this year group (not class size) –
including the above child if a place has been offered

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