Primary Admissions Form

PRIMARY SUPPLEMENTARY APPLICATION FORM 2022/23

Please read The Royal School, Wolverhampton Admissions Policy 2022 before completing this form.

The school requires this information for the safety and wellbeing of pupils as well as for DfE statistical returns. Information may also be passed to other bodies providing health care services, welfare and pastoral services. This information will be processed and stored in accordance with the General Data Protection Regulations 2018.

Please write clearly in BLOCK CAPITALS. If you need help completing this form please call 01902 341230

To be eligible for admission to The Royal School, Wolverhampton, all applicants (or their parents/legal guardian) must have a full UK passports or have other approved residential status within the UK.

PLEASE INDICATE WHICH YEAR GROUP YOU ARE APPLYING FOR*

Student Information

Surname* Forename* Middle Name (s) D.O.B.*

*BoyGirl

House number/Street* Town/City* County Postcode*

Is this the child’s permanent residence?*YesNo

NOTE: The child’s permanent residence is where they live normally and the majority of the school week, including weekends and during school holidays as well as during the week. Any change of address should be notified to the school IMMEDIATELY and in any event before 12th February 2023. After that date it may not be possible for the new address to be considered for allocation purposes.

Parent/Guardian Details

Please give details of all persons who have parental responsibility.

Parent contact #1

Title e.g. Mr, Mrs* Forename* Surname* DOB (Parent) Mobile* NI Number Email* Home Phone* Home Address* Postcode* Relationship to child:*

Does this contact have parental responsibility?*YesNo

Parent contact #2

Title e.g. Mr, Mrs Forename Surname Mobile NI Number Email Home Phone Home Address Postcode Relationship

Does this contact have parental responsibility?YesNo

NOTE: The child’s permanent residence is where they live normally and the majority of the school week, including weekends and during school holidays as well as during the week.

Please give details of any brothers and sisters who currently attend The Royal School, Wolverhampton, and will still be at the school at the expected time of transfer (September 2023).

	Name	D.O.B
1
2
3

Present School Address Post Code/Zip Principal Telephone

Oversubscription Priority categories

Does your child have a current Educational Health Care Plan?*YesNo

Is your child ‘looked after’ by a local authority (i.e., in care)*YesNo

If yes, which authority?

Is the child previously ‘looked after’; in foster care; adopted or under special guardianship?*YesNo

Has your child been registered as eligible for free school meals (FSM) at any point in the last six years (not universal infant free school meals)*YesNo

Does your child have a parent who is serving in the regular UK Armed Forces or was serving in the past 3 years?*YesNo

Is your child in receipt of a pension under the Armed Forces Compensation Scheme (AFCS) and the War Pensions Scheme (SPS) Because their parent(s) died on active service with the UK Armed Forces?*YesNo

Are you employed by The Royal School, Wolverhampton?*YesNo

Pupil Learning Information

Is your child on the SEN Register?*YesNo

If yes, at what stage:School ActionSchool Action PLUSE.H.C.P.

Please give details:

Has your child been referred to a Behavioural Support Centre?*YesNo

Has your child been referred to an Education Psychologist?*YesNo

Is there a Social Worker involved with your child or family?*YesNo

Are there any other support agencies involved?*YesNo

If the United Kingdom is not the country you were born in, please give your home country and please can you supply the following dates:-

Date you arrived in the UK: Date you arrived in Wolverhampton: What languages are spoken within the home?*

PRIVACY NOTICE AND DATA COLLECTION STATEMENT

By submitting an application for admission, you are agreeing to the collection of your personal data by The Royal School. This data will not be shared with any external parties except for those stakeholders as required for completion of the admissions process (this includes, but is not exclusive to, the Local Authority Admissions Team).

All information submitted for admissions will be processed and maintained in line with General Data Protection Regulations (GDPR) and The Royal School Information and Records Retention Policy and Information Security Policy.

I confirm that I agree to the collection and use of my data as specified above*

This section must be signed and dated by person completing this form

Declaration to be completed by all applicants

I/We hereby apply for a day place at The Royal School for our son/daughter. I/We certify that the information given in this application is true, complete and correct and authorise the Governing Body, or agencies acting on behalf of the Governing Body, to verify the information given. I/We have also made any necessary application via the child’s home Local Authority.

Name* Relationship to pupil* Date*

Please tick to sign this form*

Information supplied will be used for registered purposes under the Data Protection Regulations 2018