Tameside Council School Transfer Request Form (Page 3 of 4) in pdf

Section 6: Additional Information

This section must be completed – at least one box must be ticked. This information will be used to

determine whether the application should be dealt through the Fair Access Protocol. Please see the Tameside

Website for more information:

Please tick all that apply:

a) Asylum Seeker / Refugee

h) Returning from the Pupil Referral Service (PRS)

i) Permanently Excluded

b) Gypsy / Roma / Traveller

j) Behaviour causing concern or at risk of exclusion

c) Homeless / Living in a refuge

d) Young Carer

k) Returning from the criminal justice system

e) Special educational needs requiring specific

l) Less than 65% attendance at current / previous

support (state below)

school

m) None of the above

f) Out of education for more than 2 months

g) Disability / serious medical condition (state below)

Please provide any further information as requested above (persons supporting the family may also

include comments here):

Continue on additional sheet if necessary

Section 7: Parent / Carer Declaration

I certify that I have parental responsibility for the child named in Section 1 and that all persons with parental

responsibility have agreed to this transfer. I confirm that the information given on this form is true to the best of

my knowledge and belief. I understand that giving false or deliberately misleading information may result in the

withdrawal of the offer of a school place.

Signature of parent ……………………………………………………………………….. Date……….……………………………………

Data Protection Act 1998: In accordance with the Data Protection Act 1998 we must inform you that by signing these forms

you are giving your consent for Tameside Metropolitan Borough Council (MBC) to process the information detailed in this

form for the purposes of school admissions. The information may be shared not only with other departments in Tameside

MBC but also with other relevant professionals and bodies such as schools, the Department for Education and the NHS. This

sharing will only be done where it is necessary to provide you with a school place or where we are legally obliged to do so

and is strictly in accordance with the Data Protection Act 1998.

If this form has been completed on behalf of the parent or carer, please provide your details:

Name:

Role / relationship to child or family:

Signature……………………………………………………………………………………………………….. Date…………………………………

Tameside Council School Transfer Request Form Page 3