Does your child have an Education, Health and Care Plan (Statement of SEN)? YES/NO (delete as appropriate) If yes, you should NOT complete this form, and should contact your Local Authority. Is the child in the public care of a local authority? YES/NO (delete as appropriate) If yes, please state in the box below which Local Authority, and enclose a letter from the social worker confirming the legal status of the child and the local authority with whom the child is in care: Has your child been permanently excluded from a previous school/schools? YES/NO (delete as appropriate) If yes, please give the name of the school, date of permanent exclusion, and reason for the exclusion in the box below (if your child has been permanently excluded from more than one school, you must list all previous permanent exclusions): If there are any special circumstances or factors which you feel should be taken into account, please set them out below: Please note that is no commitment from Ark All Saints Academy that these factors will have any bearing on your application, but you are given the opportunity to state them if you wish. Section 5. Declaration and Signature of Parent/Carer I certify that I have read the key points at the beginning of this application form. I wish to apply for a place at Ark All Saints Academy I certify that I am the person with parental responsibility for the child named in Section 1 and the information given is true to the best of my knowledge and belief I understand that any false or deliberately misleading information given in this form may render this application invalid, or lead to any offer being withdrawn.
Does your child have an Education, Health and Care Plan (Statement of SEN)? YES/NO (delete as appropriate) If yes, you should NOT complete this form, and should contact your Local Authority. Is the child in the public care of a local authority? YES/NO (delete as appropriate) If yes, please state in the box below which Local Authority, and enclose a letter from the social worker confirming the legal status of the child and the local authority with whom the child is in care: Has your child been permanently excluded from a previous school/schools? YES/NO (delete as appropriate) If yes, please give the name of the school, date of permanent exclusion, and reason for the exclusion in the box below (if your child has been permanently excluded from more than one school, you must list all previous permanent exclusions): If there are any special circumstances or factors which you feel should be taken into account, please set them out below: Please note that is no commitment from Ark All Saints Academy that these factors will have any bearing on your application, but you are given the opportunity to state them if you wish. Section 5. Declaration and Signature of Parent/Carer I certify that I have read the key points at the beginning of this application form. I wish to apply for a place at Ark All Saints Academy I certify that I am the person with parental responsibility for the child named in Section 1 and the information given is true to the best of my knowledge and belief I understand that any false or deliberately misleading information given in this form may render this application invalid, or lead to any offer being withdrawn.
In-year%20application%20form%202018-2019.docx