2013-14 in-year application form (secondary)

7/27/2019 2013-14 in-Year Application Form (Secondary)

1/5

SECONDARY SCHOOL APPLICATION FOR

IN-YEAR ADMISSION OR TRANSFER 2013/14 (ICAF)

This is an application for parents applying for schools in Hackney. Please read carefully the guidance notes on the last page before

completing the form. Please return your completed form to: Admissions Team at Hackney Learning Trust, 1 Reading Lane, E8 1GQ.

This form should not be completed for a child who has a Statement of Special Educational Needs you can contact

The Special Needs and Assessment Team for advice about a school transfer

1. Childs Details

Childs

first name(s)

Childs

last name(s)

Childs

date of Birth/ /

Gender Boy Girl

Childs

Home

Address

Addresses are checked and any

school place offered using a false

address may be withdrawn

Post code:

(This must be the address where the child normally lives)

Current / lastSchool Is your child currently on roll at the school?

School

Address Yes No

2. Parents/Carers Details

Parent/Carer (1) Title (Please circle) Mr Mrs Miss Ms

First name Last name

Relationship to child

(e.g Mother, Father etc)

E-mail

address

Home

tel no.

Mobile

tel no.

Parent/Carer (2) Title (Please circle) Mr Mrs Miss Ms

First name Last name

Relationship to child

(e.g Mother, Father etc)

E-mail

address

Home

tel no.

Mobile

tel no.

3. Reason for Transfer

Not on a school roll because: (tick box)

New arrival to UK from overseas (Specify Country)

Returning to UK from overseas

(Specify Country and

Town/Borough when

previously in UK)

New arrival to Hackney from another

area in the UK(Specify borough/town

Out of borough resident (Specify borough)

Permanent exclusion withdrawn

before permanent exclusion(specify school name)

If your child is currently on roll at a school, you should arrange to meet with the Headteacher or Head of year at your childs school to

discuss the transfer and to ask the Headteacher or Head of year to complete and sign the Part 2 form (page 3) attached before returning

both forms to the address at the top of the form. The information we ask for on the Part 2 form is important as it will assist the transfer

process or help us to decide whether your child is eligible to be considered under the Fair Access Protocol, if your preferred schools are

unable to offer a place.

Page 1


2/5

4. School PreferencesPlease write the name and address of up to four schools which you wish to apply to. You must list the schools in the order you prefer them.

You should include all state-funded schools, academies and free schools for which you wish to apply, not including any schools which are

outside of Hackney. Please see page 5 to find out how you can make an application for schools out of the borough. You should include the

details of any sibling (brother or sister) who is currentlyattending the school below. Applications for private fee-paying schools must be made

separately, direct to the school.

Preference 1 Brothers or sisters attending this school Tick box - if

documents are attached for

Medical/social reasons

First name(s): Last names(s):

DOB / /

Preference 2 Brothers or sisters attending this schoolTick box - if




DOB / /





DOB / /





DOB / /

5. Other informationReasons for application - Please give the reasons below for your application including any relevant background information. Please continue on

a separate sheet if necessary.

Please continue on a separate sheet if nessecary

Exceptional Medical, Social or Other Grounds

If you feel there are any exceptional medical, social or other needs why your son/daughter should attend one particular school over another,please give details below. Any case made on these grounds must be supported by written specific professional advice (eg a letter from your

doctor or social worker) as to why admission to that school, rather than any other is necessary.

Please continue on a separate sheet if nessecary

6. Children in Care/Subject to a Child Protection Plan This includes all looked after children and children who werepreviously looked after, and are now subject to an adoption, residence, or special guardianship order.Is this child Looked After by a Local Authority

If yes, please complete below:

Is this child subject to a Child

Protection Plan (CPP)?Local authority Social worker name Contact number Yes No

7. DeclarationI wish to apply for a place at each of the schools named in section 4, and I have listed these schools in my order of preference.

I certify that I am the person with parental responsibility for the child named above and that the information given is true to the best of my knowledge and

belief.

I understand that any false or deliberately misleading information given on this form and/or supporting information may render this application invalid, or

lead to the offer of a place being withdrawn.

I understand that I will be required to provide proof of address and my childs date of birth upon receipt of an offer of a school place. Failure to provide

acceptable evidence will lead to the offer being withdrawn.

Parents/Carers signature Date / /

For office use only HLT STAMP

Initials:

Part 2 attached Yes No

Part 2 Requested

Page 2


3/5

Hackney Learning Trust - In Year Admissions TeamHackney Technology & Learning Centre1, Reading Lane, E8 1GQTel: 020 8820 7489

TO BE COMPLETED BY SCHOOL ONLY

All sections must be completed

iCAF PART 2 FORM

To: Headteacher / Head of Year ( ) of School

Contact Number: PLEASE SEND COMPLETED FORM TO:The parent of the child below has requested a transfer to another school. We would be grateful if you could provide the

following information as listed below and return by fax to 020 8820 7597 or email to [email protected]

wish to contact the parent to discuss this application if it is your professional view that the child should remain on roll of the

current school.

Pupils name: DOB / / UPN

PUPILS SCHOOL HISTORY

Q1. Does the pupil have a Statement of Special Educational Needs? Yes/No

If not, is the pupil on School action? Or School Action Plus?

Is this for: Medical/Physical Sensory BESD SLCD SLD MLD

ASD PMLD

Q2.National Curriculum levels or Teachers Assessment Maths English Science

Q3. English as an additional language YES / NO Level Home Language

Q4. Is the pupil being educated off site for behavioural issues and the most recent review by the currentschool determined that this was the appropriate provision?

Yes/NoQ5. Is the pupil permanently excluded from the school? Yes/No

If yes, please provide date of exclusion: / /

Q6. How many fixed term exclusions has the pupil attained in the last year from the date of this

application for aggressive or violent behaviour?days

(please provide details / dates below)

Q7. Has the pupil had other fixed term exclusions? Yes/No

If yes (please provide details below)

Q8. Has the pupil been referred to or involved with any other support agencies such as the School

Attendance Service, Inclusion Team, Young Hackney or Social Services?Yes/No

If yes (Please provide details below)

Q9. Date of when pupil started at your school / / Attendance rate %

Q10. If applicable, date of when pupil was removed from

school roll

/ /

Reason for removal

Name SCHOOL STAMP

Designation

Signature

Date

Page 3


4/5

Hackney Learning Trust - In Year Admissions Team1, Reading Lane, E8 1GQTel: 020 8820 7397/7489/7398/7197

GUIDANCE NOTES FOR PARENTS WHO ARE APPLYING FOR AN IN-YEAR ADMISSION TO A SCHOOL IN 2013/14

Parents/Carers DetailsThe names of all responsible adults/carers are recorded on the form for school to approach. Please note that when parents

live separately, the application must be based on one address where the child normally lives. If your child is not living with you,

please provide an explanation as to the circumstances and why your child is now living elsewhere/moved into Hackney.Hackney Learning Trust may withdraw an offer of a place if it has been proven that false or misleading information has been

provided.

School PreferencesYou are entitled to name up to four schools in Hackney. For schools outside Hackney, you will need to approach the local

authority in which the school is situated to get advice as to how to apply for schools in their area.

Sibling Connection - It is important that you state if your child already has a brother or sister (including step or foster siblings,

living in the same household) attending the school as this can give your child priority for admission.

Medical/Social reasons Some schools give special consideration to children who have a particular medical or social need for a

place at that particular school. This will need to be demonstrated by providing professionally supported documentation, whichshould be attached to this form.

Applying to religious schools - It is important that you complete a supplementary form, which will normally need to be signed

by a Priest/Vicar/Imam/Rabbai or any other religious leader in order to be considered under the religious priorities. The

supplementary forms for the religious schools in Hackney are available from Hackney Learning Trust or the schools concerned.

Information about schools outside Hackney which require the completion of a supplementary form is available from the local

authority in which the school is situated or directly from the school.

The Part 2 form on page 3 If your child is on roll at a school within London, you will need to take this form to the school for

completion. If the school is out of London we will get the form completed by your childs previous school.

Children in Care to a local Authority/Subject to a Child Protection Plan/Adopted or Subject to a Residence Order/SpecialGuardianship Order - If you are a Foster Carer, looking after a child who is in care or a parent/carer with a child subject to a

Child Protection Plan, this must be indicated on this form in order for your application to be fully considered. This applies to a

child who becomes adopted, has a special residence or guardianship order following looked after status.

Admissions Checklist:

Before returning this form, please ensure that you have:

Enclosed an original utility bill received within the last two months as proof of address

Enclosed proof of Date of Birth

Enclosed supporting evidence, if applicable (e.g. a letter from the family doctor/hospital consultant in support of any

medical or social priority request)

Supplementary form for any religious schools - THIS MUST BE SENT DIRECTLY TO THE SCHOOL(S) CONCERNED.

Outcome of ApplicationAll your preferences will get considered at the same time, regardless of its rank. A letter should be sent within 20 school days to

let you know the outcome of your application. If you are not offered a place at any school, we will let you know the names of

schools in Hackney with vacancies. Your child will also be placed on the waiting list of your preference schools. Once a place

is offered your childs name will be removed from the list for other schools unless you request that their name remain s on

the list.

Receipt of application:

Your application has been received by: ___________________________

(to be signed by the Admissions officer receiving the form)

Name of Child ______________________________________

Date of Birth / /

HLT Stamp

Page 4


5/5

IN-YEAR APPLICATION PROCESS FOR NON HACKNEY SCHOOLS

Borough Arrangements Contact Number

Barking and

Dagenham Applications to be made to local authority 020 8215 3004

Barnet

Applications to be made to local authority (confirm with borough for

Free schools) 020 8359 7651Bexley Applications to be made to local authority 020 8303 7777

Brent Parents to contact Local Authority to check how to apply 020 8937 3110

Bromley Applications to be made to local authority 020 8313 4044

Camden Must make application directly to schools in this borough 020 7974 1625

City of London Must make application directly to schools in this borough 020 7332 1750

Croydon Applications to be made to local authority 020 8726 6400

Ealing Applications to be made to local authority 020 8825 6339

Enfield

Applications to be made to local authority except The Latymer

School and Heron Hall Academies 020 8379 5501

EssexPrimary applications must be made to the local authority and forsecondary In-Year directly to the schools 0845 603 2200

Greenwich Applications to be made to local authority 020 8921 8043

Hackney Applications to be made to local authority 0208 820 7000

Hammersmith

& Fulham Applications to be made to local authority 020 7745 6434

Haringey Applications to be made to local authority 020 8489 1000

Harrow Applications to be made to local authority 020 8901 2620

Havering Please contact local authority directly for Information 01708 434600

Hertfordshire Please contact local authority directly for Information 0300 123 4043

Islington Make application online at www.islington.gov.uk 020 7527 5516Kensington &

Chelsea

Applications to be made to local authority for In-year primary, for

secondary please check borough website 020 7361 2210

Kent Must make application directly to the schools in this borough 0300 333 6472

Kingston Applications to be made to local authority 020 8547 5004

Lambeth Applications to be made to local authority 020 7926 9503

Lewisham Applications to be made to local authority 020 8314 8282

Merton Applications to be made to local authority 020 8274 4906

Newham Applications to be made to local authority 020 8430 2000

Redbridge Applications to be made to local authority

020 8708 3562 /

3140 / 3996Richmond Applications to be made to local authority 020 8891 7514

Southwark

Applications to be made to local authority with exceptions, contact

local authority to confirm 020 7525 5337

Surrey Applications to be made to local authority 0300 200 1004

Sutton Applications to be made to local authority 020 8770 5000

Tower Hamlets Apply through your home local authority (Hackney) 0207 364 5006

Waltham

Forest Apply through your home local authority (Hackney) 0845 200 1551

Page 5

2013-14 in-year application form (secondary)

Documents