BARNSLEY METROPOLITAN BOROUGH COUNCIL

Common Application Form

For Admission to Secondary School

BEFORE FILLING IN THIS COMMON APPLICATION FORM, it is recommended that you read all of the booklet Admission to School, Academic Year 2018/2019 – Advice to Parents.

The closing date for receiving applications is 31 October 2017.

For children resident in Barnsley
This common application form is to enable you to express preferences for three Barnsley and/or any other Authority school(s) and rank your preferences in order. There is also space on the application form to give reasons for your preferences.
If your child attends a Barnsley primary school, you must return the common application form to the Headteacher of your child’s current school by the closing date 31 October 2017.
If your child attends a school outside Barnsley, you must return the common application form to the
Admissions Officer, People Directorate, PO Box 634, Barnsley S70 9GG by the closing date.
For applications made after 31 October 2017
Return this common application form to the Admissions Officer,People Directorate, PO Box 634, Barnsley S70 9GG.
For children not resident in Barnsley
To apply for Barnsley schools, do notcomplete this common application form.
Contact your local Admissions Section for details of how to apply.

You must complete only ONE Barnsley common application form for your child.

To apply for a voluntary aided school
Holy Trinity Catholic and Church of England – complete this form together with the relevant
supplementary information form. Return this form directly to your child’s Primary school or the
Admissions Officer – see address details above, if your child attends a school outside Barnsley.
For voluntary aided schools in other Authorities – contact the Local Authority.
To apply for an Academy
Complete and return this form.

PLEASE NOTE THAT COMPLETION AND RETURN OF THIS COMMON APPLICATION FORM DOES NOT GUARANTEE A PLACE IN ANY OF YOUR PREFERRED SCHOOLS.

PLEASE COMPLETE THIS FORM IN BLACK INK BECAUSE

IT MAY BE NECESSARY TO PHOTOCOPY THIS FORM

Section One: Preferences

Write the names of your three preferred schools – in rank order. If you wish, you can give a reason for your preference.

1st preference school
Reason for
preference
2ndpreference school
Reason for
preference
3rd preference school
Reason for
preference
Please state the primary school
your child is currently attending

Section Two: Details about you and your child

Your child’s
personal details / first name / middle name
surname
FOR SCHOOL USE ONLY
Date received into school:
/ FOR OFFICE USE ONLY
To be allocated:
School
Section Two: Details about you and your child (continued)
Your child’s
date of birth / Day / Month / Year / Your child’s gender
(please tick) / Male / Female
Your child’s
address / house number / house name
/ Street
townpostcode
Your name / Mr/Mrs/Ms/Miss/other / Initial / Surname
Tick one box / Mother / Father / Guardian / Other – please specify
Your address
/ house number / house name
Street
townpostcode

If you are moving house please provide your new address below, and provide an estimated moving

in date (if known).

New address / Postcode
Proposed moving
in date
Phone numbers / Daytime / Evening
Mobile numbers
Email address
Section Three: Siblings

Please provide details of brothers and/or sisters of your child who are currently or will be

attending school at the proposed date of admission to school

name of sibling / date of birth
school name
name of sibling / date of birth
school name
name of sibling / date of birth
school name

Section Four: Additional Information

Please tick this box onlyif your child has a statementof
special educational needs or an Education, Health and
Care plan (EHCP) / SEN statement/EHCP
Please tick this box only if your child is, or has
previously been, looked afterby the local authority / Looked after child

Section Five: Declaration

In the event of you not receiving an offer of a place at a preferred school, the Authority will not be held responsible where a place was not offered as a result of an error made by you because you failed to read the Admission to School – Advice to Parents booklet.

I declare that all the information I have given on this form is correct and true, and that I have readand understand the admissions procedure set out in the “Admission to School– Advice to Parents” booklet.

I certify that the information on this form is correct. I confirm that all other persons with parental responsibility have been contacted and have agreed to the transfer request. I also confirm that to my knowledge, there are no applications before the county/magistrates courts by a parent, someone claiming to be a parent etc, disputing the child’s residence or which school they attend.

Signed
(parent/guardian) / parent/guardian to sign
Full name
(parent/guardian) / parent/guardian full name (please print)
Date / daymonthyear

Please note: The information you provide may be passed to other local or central government departments or agencies in relation to prevention and detection of fraud. If a child is offered a place at a preferred school on the basis of false or intentionally misleading information provided by you, then the offer of the school place will be withdrawn. If your child is attending the preferred school having secured the place on the basis of false or intentionally misleading information the sibling criterion will cease to apply in the event of you making an application to the same school on behalf of a younger child in your family.