Freshfield Nursery School Application Form 2 Year Olds PUPIL DATE OF BIRTH MALE/FEMALE SURNAME FIRST NAMES Preferred Name: PUPILS CURRENT OR PREVIOUS ADDRESS SCHOOL AND POSTCODE NAME OF PARENTS WITH PARENTAL RESPONSIBILITY TITLE FORENAME SURNAME TELEPHONE EMAIL ADDRESS NO ADDRESS IF DIFFERENT FROM PUPILS’S ADDRESS IS YOUR CHILD LOOKED AFTER BY THE LOCAL AUTHORITY ? YES/NO ARE YOU ELIGIBLE FOR FREE 15 HOURS PLACE ? YES/NO Please see attached list of criteria ARE YOU IN RECEIPT OF AWARD NOTICE (TC-602) ? ARE YOU APPLYING FOR A PAID FOR PLACE ? DECLARATION I/We declare that the information given on this form is correct to the best of my knowledge and belief and authorise Stockport Council to make checks on accompanying information to support priority admission. I/We understand that any place offered to my child is based on the information given and may be withdrawn if circumstances are subsequently found to be other than those given. I/We will advise Freshfield Nursery School Headteacher in writing if there is any change from the details given on this form. SIGNED: DATE: PLEASE RETURN THIS FORM TO: HEADTEACHER FRESHFIELD NURSERY SCHOOL 42 MAULDETH ROAD HEATON MERSEY STOCKPORT SK4 3NB Who is eligible ? Families in receipt of non-working benefits Families with a total household income of less than £16,190. This will be recorded in your awards notice (see below).
Freshfield Nursery School Application Form 2 Year Olds PUPIL SURNAME DATE OF BIRTH MALE/FEMALE FIRST NAMES Preferred Name: PUPILS ADDRESS AND POSTCODE CURRENT OR PREVIOUS SCHOOL NAME OF PARENTS WITH PARENTAL RESPONSIBILITY TITLE FORENAME SURNAME TELEPHONE NO EMAIL ADDRESS ADDRESS IF DIFFERENT FROM PUPILS’S ADDRESS IS YOUR CHILD LOOKED AFTER BY THE LOCAL AUTHORITY ? YES/NO ARE YOU ELIGIBLE FOR FREE 15 HOURS PLACE ? YES/NO Please see attached list of criteria ARE YOU IN RECEIPT OF AWARD NOTICE (TC-602) ? ARE YOU APPLYING FOR A PAID FOR PLACE ? DECLARATION I/We declare that the information given on this form is correct to the best of my knowledge and belief and authorise Stockport Council to make checks on accompanying information to support priority admission. I/We understand that any place offered to my child is based on the information given and may be withdrawn if circumstances are subsequently found to be other than those given. I/We will advise Freshfield Nursery School Headteacher in writing if there is any change from the details given on this form. SIGNED: DATE: PLEASE RETURN THIS FORM TO: HEADTEACHER FRESHFIELD NURSERY SCHOOL 42 MAULDETH ROAD HEATON MERSEY STOCKPORT SK4 3NB Who is eligible ? Families in receipt of non-working benefits Families with a total household income of less than £16,190. This will be recorded in your awards notice (see below).
application-form-2-year-olds-1.docx