EmailMeForm
SCHOOL PLACE - Further information
Please complete a form for each child you are requiring a place for.
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Firstname
Surname
D.O.B
Girl/Boy
Current Year Group
Year Group Enquiring for
Details of child
Child's Current Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Child's New Address (if relevant)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Date moving to new address (if applicable)
*
Please give details here
Date the school place is required:
Current School:
Name of Class teacher:
Name of Headteacher:
If your child has already left the school, please give the date they last attended:
Attendance: Please ask the school for your child’s current attendance for this academic year:
Attendance: Please ask the school for your child’s attendance for the last academic year:
Is your child receiving additional support for Special Educational or behavioural needs: Please give brief outline.
Please answer the following questions:
*
Does your child have an Education, Health Care Plan (statement of SEN)
Please select
Yes
No
Has your child been permanently excluded from this or any previous school?
Please select
Yes
No
Has your child ever been on a reduced timetable?
Please select
Yes
No
Has your child ever received a fixed term exclusion from this or any previous school?
Please select
Yes
No
Does the child currently have a sibling already attending the school?
*
Please select
Yes
No
If yes, please give their name
You only need to complete this section if your child/ward is or has ever been in the care of a local authority
Is your child in the care of a local authority under the children act 1989 (i.e foster care)
Please select
Yes
No
Local authority:
Social workers name:
Social workers telephone number:
Was your child previously in the care of a local authority under the children act 1989 (i.e foster care)
Please select
Yes
No
If yes, please provide a copy of your adoption certificate or special guardianship order.
Does your child have any involvement with any of the following services?
Other services (e.g social care, youth offending team)
Please select
Yes
No
School attendance
Please select
Yes
No
If yes – please give details below of the service(s) together with the name and telephone number of your key support worker (s)
Please note
In order to ensure the best possible support and provision for your child, Hordle Primary School may contact any services supporting your child for additional information before processing your application.
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