primary to secondary 2015

8/10/2019 Primary to Secondary 2015

1/4

APPLICATION FOR TRANSFER FROM PRIMARY TO SECONDARY SCHOOLIN SEPTEMBER 2015

This form is for Hackney residents use only. If you live outside Hackney you must complete your Borough or County Council applicationform. Please carefully read the guidance notes on the last page before completing the form. Completed forms must be returned to the addressshown at the end of the form, by 24thOctober 2014. If this form is received after the national closing date of 31stOctober 2014, it will be

treated as a late application. There is the easier option of applying on-line at:www.eadmissions.org.uk

This form should not be completed for a child who has a Statement of Special Educational Needs/Health, Care and Education Planyou can contact an officer on 020 8820 7183 for further advice about a school transfer.

1. Childs Details

ChildsFirst Name(s)

Surname/Last Name

Childs Date ofBirth / / Gender Boy Girl

ChildsHome

Address

Post code:Is the above address: Permanent? Yes No

Is the address: Social housing Owner occupier Living with a relative

Private landlord, Please provide end date of tenancy agreement ........./........./..........

(This must be the address where the child normally lives between Monday and Friday and where the child benefit is received. If this is differ-ent from the parent/carer address, please give reasons for this. If parents share custody, this must be stated and both addresses shown).

Primary School

(Please also give address if school is outside Hackney)

2. Parents/Carers Details

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

SurnameRelationship

to Childe.g father, mother

State address ifdifferent

(If address is different from childs home address provide reasons for this)

Home Tel no. Mobile Tel E-mail Address

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

SurnameRelationship

to ChildE.g. father, mother

Home Tel no. Mobile Tel E-mail Address

Please turn over
http://www.eadmissions.org.uk/http://www.eadmissions.org.uk/http://www.eadmissions.org.uk/http://www.eadmissions.org.uk/


2/4

Name of secondary schoolBorough or Countyin which school is

located

First name, surname anddate of birth of any

sibling(s) already attendingthe school

Medical/socialreasons

Preference 1 Tick box

You must providedocuments to support yourSocial/Medical Reasons

Preference 2 Tick boxYou must provide

documents to support yourSocial/Medical Reasons






You must provide



You must provide


Staff child Priority is applied tochildren of staff who work at the school /academy fulltime with at leas t two years continuousemployment by the academy or where the academy reasonably considers a member of staff has been recruited for a position for

which there is a demonstrable skill shortage.Name of staff School / academy name Designation / Role Start date

4. Other info rmationReasons for preferences - Please give the reasons below for your application including any relevant background information, thesemight include religious, philosophical or any other reasons.

Please continue on a separate sheet if necessary.

Exceptional Medical, Social or Other GroundsIf you think that there are exceptional medical or social reasons why your child should attend a particular school, you must provide andexplanation below professionally supported by evidence (such as GP, Social work or any other agency letters). It is very important that you checkthe admission criteria of each school for which you are applying to see if priority of admission can be given on this basis .

Please continue on a separate sheet if necessary.

5. Chi ldren in Care/Subject t o a Chi ld Pro tection PlanThis includ es al l looked after chi ldren andchi ldren wh o were previously loo ked after , and are now subject to an adoption, residence (chi ld care arrangements) , or specialguardianship order.

Is this child Looked After by a Local AuthorityIf yes, please complete below:

Is this child subject to a ChildProtection Plan (CPP)?

Local authority Social worker name Contact number Yes No

3. Second ary Scho ol PreferencesPlease write the name of up to SIXschools which you wish to apply to. You mu st l ist the scho ols in the order you prefer them. Youshould include all state-funded schools, academies and free schools for which you wish to apply, including any schools which are outsideof Hackney. You should include the details of any sibling (brother or sister) who is current ly attending the school below. Applications forprivate fee-paying schools must be made separately, direct to the school.


3/4

Parents/Carers Signature Date: / /

Data Protection

Information supplied will be used for registered purposes under the Data Protection Act 1998

The London Borough of Hackney is the data controller for the purpose of the data protection act 1998.

This means that the London Borough of Hackney is responsible for making decisions about how your personal data will be processed and used. Yourdata will be used for the purpose of school admissions, school admissions appeals, sending you questionnaires, and assessing pupils eligibility forvarious pupil benefits and services. Your data may also be used for the purpose of safeguarding children and the detection of fraud. The information youprovide will be treated confidentially at all times.

.

Checklist:Before returning this form, please ensure that you have:

Read the accompanying notes and the secondary school admissions brochure HackneysSecondary Schools

2015 Admissions Guide for Parents (Available atwww.Learningtrust.co.uk) and/or the guide for the borough orcounty council in which each school for which you are applying is located.

Checked your childs address is within the Borough of Hackney.

Completed all relevant sections of this form.

Enclosed any supporting evidence e.g. a letter from the family doctor/hospital consultant in support of anymedical or social reason for wanting a place at a particular school

Attached the relevant proofs of address detailed below (if you have changed address in the last year wemay request further evidence):

The original council Tax Bill for Year 2014/2015 or the original letter for Housing Benefit entitlement

An original utility bill received within the last two months (Gas, Electricity or Landline phone)

Completed supplementary forms MUST BE SENT DIRECTLY TO THE SCHOOL(S) CONCERNED . Pleasecheck the admission criteria for each school for which you are applying to see if a supplementary form isrequired, particularly faith based schools.

6. Declaration and Signatu re of Parent/Carer

I wish to apply for a place at each of the schools named in Section 3, and I have listed these schools in my orderof preference.

I certify that I am the person with parental responsibility for the child named above who lives in the Borough ofHackney, 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 informationmay render this application invalid, or lead to the offer of a place being withdrawn.
http://c/Users/hyoung/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/A3FTQHMV/www.Learningtrust.co.ukhttp://c/Users/hyoung/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/A3FTQHMV/www.Learningtrust.co.ukhttp://c/Users/hyoung/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/A3FTQHMV/www.Learningtrust.co.ukhttp://c/Users/hyoung/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/A3FTQHMV/www.Learningtrust.co.uk


4/4

GUIDANCE NOTES FOR PARENTS WHO WISH TO COMPLETE THE ATTACHED FORMPUPILS TRANSFER FROM PRIMARY TO SECONDARY SCHOOL IN SEPTEMBER 2015

This form should not be completed in respect of a child who has a Statement of Special EducationalNeeds/Education Health and Care Plan

All Hackney residents must complete this form. The national closing date is 31 October 2014, we would prefer allcompleted forms returned to Hackney Learning Trust by 24

thOctober 2014.

Hackney Learning Trust will process all of your preference at the same time and use the Pan-London AdmissionsSystem to transfer any preferences outside of Hackney. Please refer to booklet Hackneys Secondary School

2015 Admissions Guide for Parents for further information go to;www.learningtrust.co.uk

All your preferences will get considered at the same time, regardless of its rank and whether the school is in another localauthority.

Section 1Childs DetailsAll sections must be completed.

Section 2Parents/Carers DetailsPlease ensure that the names of all responsible adults/carers are recorded on the form for the secondary school toapproach. Please note that when parents live separately, the application must be based on one address where the childnormally lives between Monday and Friday and where the child benefit is received. You should provide a letter ofexplanation as to the living/care arrangements of your child if the address is different to the address that is normally used.Hackney Learning Trust will withdraw offers of a place if it has been proven that false or misleading information has been

provided.Section 3Secondary School Preferences

You are entitled to name up to six secondary schools anywhere in London as your expressed preferences on this form(except for private fee paying schools). Please ensure that you complete all the boxes that are applicable to eachpreference.

Sibling Connection - It is important that you state if your child already has a brother or sister including step siblings,(they must be living in the same household/ address between Monday to Friday) attending the preference school, as thiscan give your child priority for admission.

Medical/Social reasons- Special consideration can be given to children who have a particular medical or social need.This will need to be demonstrated by providing professionally supported documentation, and explains why this meansyour child can only attend a particular school. These documents should be attached to this form or sent to us by Monday

5th January 2015.

Children of staff working at a school Some schools, as part of their criteria give priority to children of staff working in

their school. You will need to provide the member of staff details (who is the parent of the child) on the form in order to beconsidered under this priority.

If applying to Cardinal Pole Catholic, Lubavitch Girls Senior Girls Jewish, The Urswick CE, Our Ladys Covent Catholicand Yesodey Hatorah Girls Jewish Schools you must obtain a supplementary form for religious commitment. Thesupplementary form must be completed by the Priest/Vicar/Pastor/Rabbi and is available directly from the secondaryschools. Completed supplementary forms must be sent directly to the school(s) concerned.

Section 4Other information

You can provide other reasons for preferences including any relevant background information, these might include

religious or philosophical.Section 5Children in Care/Subject to a Child Protection

If you are a Foster Carer, looking after a child who is in public care, this must be indicated on the form. Children in thiscategory will be given priority of admission to the community schools in Hackney in accordance with the criteria foradmission. If previously looked after proof of this must be supplied.

Please return this form to: Admissions Team, Hackney Learning Trust, 1 Reading Lane, E8 1GQContact number: 020 8820 7501/7247

RECEIPT

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
http://www.learningtrust.co.uk/http://www.learningtrust.co.uk/http://www.learningtrust.co.uk/http://www.learningtrust.co.uk/

primary to secondary 2015

Documents