In-year Application Form
YOU MUST ANSWER ALL QUESTIONS and PROVIDE ALL REQUESTED INFORMATION. If you do not, your form will be returned to you and your application will be delayed.
Your child's details
Does your child have a statement of educational needs? *
If YES, please contact the SEN team of the local authority that maintains the statement, as a different statutory admissions process applies.
Required
Is your child looked after, or previously looked after, by a local authority (eg foster care)? *
If YES, which local authority?
If you answered YES above, please enter the local authority below.
Your answer
Do you already have a child in Queensmead School? *
Required
If YES, please provide the name.
Please provide first and last names.
Your answer
Surname *
Your answer
Forename *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Address *
Please also provide a post-code
Your answer
Country of Birth *
Your answer
Nationality *
Does the child or any member of the immediate family have a disability or medical condition, which necessitates a place at Queensmead School? *
Required
Your details
Title *
Required
First name *
Your answer
Surname *
Your answer
Your address (if different from child's)
Please also provide a postcode
Your answer
Name of local authority to which you pay your council tax *
Your answer
If you are moving or have recently moved house, please provide a date of move
MM
/
DD
/
YYYY
Proposed address (if moving)
Please also provide a postcode
Your answer
Home telephone *
Your answer
Mobile telephone
Your answer
Email address
Your answer
Do you have parental responsibility of the child? *
Required
What is your relationship to the child? *
(eg mother, father)
Your answer
Are you a UK Service Personnel or other Crown Servant applying for a school place as a result of a posting? *
If YES, please send us a copy of your proof of posting
Required
Current education
What is the name of your child's most recent school? *
Your answer
Is your child still attending this school? *
Required
If NO, please state their last day of attendance
MM
/
DD
/
YYYY
What is the date a place is required at the new school?
MM
/
DD
/
YYYY
Please give your reasons for requesting a new school: *
Your answer
Declaration
I confirm that the information I have provided on this form is correct. I understand that you may request further evidence to verify the information provided. I understand that this information may be shared in accordance with fair processing.

If I provide incomplete information, Queensmead may withdraw any offer of a school place.

Please sign below by typing in your full name *
Your answer
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service