Rochdale Metropolitan Borough Within-Year Transfer Application Form - Part One Page 2

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SECTION 4 - YOUR CHILD'S SCHOOL HISTORY
Current or Most Recent School Name:
Local Authority:
Telephone Number:
/
/
Date Last Attended:
PREVIOUS SCHOOL HISTORY
Previous School 1
Name and Local Authority:
Date Left:
/
/
Reason for Leaving:
Previous School 2
Name and Local Authority:
/
/
Date Left:
Reason for Leaving:
Previous School 3
Name and Local Authority:
/
/
Date Left:
Reason for Leaving:
Please list any other previous schools on a separate sheet and attach to this application.
SECTION 5 - REASON FOR ADMISSION/TRANSFER REQUEST
Please give your reasons for requesting a transfer of schools. Continue on a separate sheet if required.
If you want to transfer from a Rochdale Borough School to another school in the Rochdale Borough or if you want to move to a
school outside the Borough, you must ask your child's current school to complete PART TWO of this form.
Have you met with your child's current school to discuss the reason you wish to transfer?
YES
NO
With whom have you discussed the transfer?
Head Teacher
Deputy Head
Head of Year
Class Teacher
OUTCOME OF MEETINGS
/
/
Other (please state)
Date of Meeting
(continue on a separate sheet if required)

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