IN YEAR SECONDARY TRANSFER 2015-2016 - REMOVAL INTO AREA

PUPIL SURNAME

FIRST NAMES

DOB: SEX: Male Female

PUPIL’S ADDRESS AT DATE OF APPLICATION:

______

______

______

______POST CODE______

CURRENT OR PREVIOUS SCHOOL AND NAME OF LOCAL AUTHORITY (if known)

SCHOOL

LOCAL AUTHORITY

NAME(S) OF PARENT(S) OR ADULTS WITH PARENTAL RESPONSIBILITY (CARERS)

Title
(Mr, Mrs, Dr etc.) / Initials / Surname / Telephone Number(state if work, home or mobile) and E-mail address
Address(es) (if different from pupil’s address) and e mail address (where available)
Is your child baptised Catholic?
If yes, please state in which Parish you live: ______/

YES / NO

Does your child have a Statement of Special Educational Needs? /

YES / NO

Is your child looked after by a Local Authority? See definition in Glossary of terms document
If yes, please state the name of the Authority here: ______/

YES / NO

Has your child been Previously Looked after? See definition in Glossary of terms document /

YES / NO

ENTER THE NAMES OF YOUR PREFERRED SCHOOLS HERE

v  Please enter ALL your selections in the boxes below including maintained schools both inside and outside Stockport

v  The ‘catchment / Catholic associated area’ State Maintained school in your area is based on your address. To find out which school this is visit http://interactive.stockport.gov.uk/catchment/

Name of school / Siblings at the school named
Full name of sibling: / Date of birth:
1st
2nd
3rd

REASON FOR YOUR REQUEST (Reasons must be stated)

(please tick appropriate box and give explanation )

o Moving House o Change of circumstances

o Not settled in present school (Please specify below, including steps taken to resolve any problems)

o Other (Please specify below, including steps taken to resolve any problems)

______

______

Continue on a separate sheet if necessary

Please tick in the box if any of the following apply, your child’s current school will be able to assist with this:

Pupil is subject to Team Around the Child process o Pupil is on Child protection register o

Secondary Behaviour Support Service involved with your child o

Is English the pupil’s first language? Yes o No o

If no, please name first language ______

Form continues overleaf

DECLARATION OF RESIDENCY OR CHANGE OF CUSTODY ARRANGEMENTS (If appropriate)

In some circumstances the Admissions Support & Advice Team may require additional documentary evidence before offering a school place, It WILL speed up your application, if you have moved, if you provide proof of this move when you submit your application.

CHANGE OF ADDRESS

Previous address:
Date of change of address:

You must also enclose the following documentary evidence and

tick the appropriate box if the transfer is due to a house move: Office use:

Solicitor’s letter confirming contracts have been signed and exchanged on the
sale and purchase of the properties with completion date or tenancy agreement (not less than 6 months)
Evidence of Council Tax registration
Evidence of disposal of previous property if not covered by Solicitor’s letter above

CHANGE OF CUSTODY ARRANGEMENTS

You should enclose the following documentary evidence and tick the appropriate box:

Letters from all interested parties indicating agreement with the arrangements
Court Order / Residence Order / other evidence of parental responsibility
Evidence of Child Benefit indicating the appropriate address

Declaration

I understand the following.

·  We will use this information you have provided to process your application for a school place.

·  If you give information that is incorrect or incomplete so as to mislead the local authority, offers or allocations of a school place may be withdrawn upon review.

·  We may check and share the information with other departments within the council including Council Tax, Housing Benefits, Electoral registration, Supporting People and Stockport Homes

·  We may share any information you provide with other departments/organisations that handle public funds in order to prevent and detect crime. These may include Council Tax, Electoral registration, Social Care Finance, Supporting People, Stockport Homes, other councils and other government departments, such as the Department for Work and Pensions, HM Revenue & Customs and the Home Office.

I know that I must tell the education department at Stockport Council straight away about any changes in my circumstances which might affect my application for a school place.

I declare the information I have given on this form is correct and complete.

Name of person applying
Signature of person applying / Date
Relationship to child

Your completed application form should be returned to the Admissions Support & Advice Team,

3rd floor Stopford House, Piccadilly, Stockport, SK1 3XE or be handed in at Fred Perry reception