NOTRE DAME R C SCHOOL

Looseleigh Lane, Derriford, Plymouth, PL6 5HN

Telephone 01752 775101; Fax 01752 768120

SUPPLEMENTARY INFORMATION FORM

IN YEAR ADMISSION

FOR ENTRY TO THE SCHOOL DURING THE ACADEMIC YEAR2016-17

FOR YEAR GROUP 78910111213(please circle)

SURNAME......

FIRST NAMES(S)......

DATEOF BIRTH......

ADDRESS......

...... POST CODE……………..…………..

HOME TELEPHONE ...... MOBILE NUMBER......

E-MAIL ADDRESS(S)......

SCHOOL NOW ATTENDING......

ADDRESS OF SCHOOL......

......

PUPILS RELIGION/DENOMINATION

 Roman Catholic  Other Christian denomination / Other faith (please state)......

 No Religion

EVIDENCE OF BAPTISM/DEDICATION/OTHER

 Baptism Certificate attached  Form countersigned below by priest/minister/faith leader  None

PARISH PRIEST/MINISTER OF FAITH/FAITH LEADER...... (PLEASE PRINT)

SIGNATURE......

FROM...... (PLACE OF WORSHIP)

SIBLINGS AT PRESENT ATTENDING NOTRE DAME R C SCHOOL, PLYMOUTH......

......

PARENT/GUARDIAN NAME (PLEASE PRINT)

1. TITLE...... INITIAL...... SURNAME......

2.TITLE...... INITIAL...... SURNAME......

PARENT/GUARDIAN SIGNATURE......

DATE......

NB. Please see the Admissions Criteria for the Year of entry, available via the school’s website –

IN YEAR ADMISSION FORM 2016-17

NOTRE DAME R C SCHOOL

Looseleigh Lane, Derriford, Plymouth, PL6 5HN

Telephone 01752 775101; Fax 01752 768120

Guidance Notes for completion of the form

Full admission criteria available at and in the Next Step Booklet.

For girls with Statements of Special Educational Need, or

For girls who are, or previously were, a Looked After Child:

Please attach a letter stating this. Verification will be sought by Notre Dame R C School from the Local Authority.

Definition of a ‘looked after child’

A 'looked after child' or a child who was previously looked afterbut immediately after being looked after became subject to an adoption, residence, or special guardianship order. A looked after child is a child who is (a) in the care of a local authority, or (b) being provided with accommodation by a local authority in the exercise of their social services functions (see the definition in Section 22(1) of the Children Act 1989);

For girls who are baptised Roman Catholic:

This should be evidenced by a Baptism Certificate

Or

By thisform being signed by your RC Parish Priest to confirm baptismorthat the child is enrolled as a catechumen.

For girls who are baptised or recognised members of a Christian denomination or other faith:

This should be evidenced by a Baptism Certificate

Or

By this form being signed by a Christian Minister/Priest/Senior Leader of your faith community to confirm baptism.

Where a faith community does not recognise or carry out baptisms, the form must be signed by the faith leader to confirm membership of the community.

For girls who have exceptional medical or social justification

Please attach evidence to this form when returning it to Notre Dame R C School

Data Protection Act 1998

The school is registered under the Data Protection Act for holding personal data. The school has a duty to protect this information and to keep it up to date. The school is required to share some of the date with the Education Authority and with Department for Education

IN YEAR ADMISSION FORM 2016-17