Application to convert to an academy Please complete this form if you are a local authority maintained school or schools that want to apply to become an academy. If you are applying in a group of more than three schools, you only need to complete sections 4 and 5 once. Please mark with an X to tell us what Join a Form a new Form a new you are applying for: trust multi-academy single academy trust trust If you are joining an existing Name of trust: academy trust, please give the name of the trust that your school is joining and provide evidence that they have Please confirm whether the has consented to resolved to accept you. your school joining them: Yes/No If you are forming a new Name of trust: trust, please give the name of the proposed trust (if known). If you are applying to set up a single Name: trust, please state the name Support: of the school(s) you will be supporting and the support you will be providing. Please note that information provided on this application form, including personal information, may be subject to publication or disclosure in accordance with the access to information regimes, primarily the Freedom of Information Act 2000 and the Data Protection Act 1998. 1. Your application see the for further information on how to complete this part of the form. Please Academy sponsor application If you are interested in applying to become an academy sponsor please see the information in the supporting at the end of this form, and on the academy sponsor . Yes No
Application to convert to an academy Please complete this form if you are a local authority maintained school or schools that want to apply to become an academy. If you are applying in a group of more than three schools, you only need to complete sections 4 and 5 once. Please note that information provided on this application form, including personal information, may be subject to publication or disclosure in accordance with the access to information regimes, primarily the Freedom of Information Act 2000 and the Data Protection Act 1998. 1. Your application Please see the for further information on how to complete this part of the form. Please mark with an X to tell us what you are applying for: Join a trust Form a new multi-academy trust Form a new single academy trust If you are joining an existing trust, please give the name of the trust that your school is joining and provide evidence that they have resolved to accept you. Name of trust: Please confirm whether the has consented to your school joining them: Yes/No If you are forming a new trust, please give the name of the proposed trust (if known). Name of trust: If you are applying to set up a single academy trust, please state the name of the school(s) you will be supporting and the support you will be providing. Name: Support: Academy sponsor application If you are interested in applying to become an academy sponsor please see the information in the supporting at the end of this form, and on the academy sponsor . Yes No
Application_to_convert_to_an_academy.docx