Rochdale Metropolitan Borough Within-Year Transfer Application Form - Part One
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4WITHIN-YEAR TRANSFER APPLICATION FORM - PART ONE
This form must be used by residents in the Rochdale Metropolitan Borough for admission to or transfer
between schools during the school year. Before completing the form, please read the guidance notes. Please
ensure you complete the form in BLOCK CAPITALS in blue or black ink and sign the declaration at Section 8.
SECTION 1 - CHILD DETAILS
LEGAL SURNAME
FORENAME(S)
DATE OF BIRTH
GENDER
M
F
YEAR GROUP
ADDRESS
POSTCODE
HOW LONG HAS YOUR CHILD LIVED AT THIS ADDRESS?
IS YOUR CHILD NEW TO THE UK? YES
NO
IF YOU INTEND TO MOVE HOUSE IN THE NEAR FUTURE, PLEASE PROVIDE DETAILS:
NEW ADDRESS
POSTCODE
POSTCODE
MOVING DATE
DOES YOUR CHILD SPEAK ENGLISH?
YES
NO
SOME
NOTE: If you have moved address recently or are planning to move, please provide evidence of your house purchase or rental with your
application (e.g. utility bill, Council tax bill or tenancy agreement). Your application may be delayed if you do not provide the necessary
documents.
SECTION 2 - PARENT OR CARER DETAILS - ADULTS WITH PARENTAL RESPONSIBILITY
TITLE
FORENAME
SURNAME
RELATIONSHIP TO CHILD: MOTHER
FATHER
CARER
SOCIAL WORKER
OTHER
YOUR ADDRESS (if different to child)
POSTCODE
CONTACT DETAILS
EMAIL ADDRESS
MOBILE TELEPHONE
HOME TELEPHONE
DO YOU SPEAK ENGLISH?
YES
NO
SOME
HOME LANGUAGE
SECTION 3 - YOUR SCHOOL PREFERENCES
Where parents have shared responsibility for the child, they must discuss and agree on the preferred schools. Please list the
names of your preferred schools in order. Remember to check the Admission Criteria for the school and whether or not a
supplementary form is needed. Supplementary forms are available from the preference school directly.
School Name
NOTE:
You may need to complete an
1st Preference
additional form for these
schools and provide evidence
2nd Preference
of baptism or church
affiliation as required by the
3rd Preference
school.
Are you applying for these schools for religious reasons?
Please state religion:
You can find a list of all the schools in the Rochdale Borough by looking at the current admission booklet available at
and the Department for Education website at
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