King's Academy Prospect - Supplementary Admissions Form
We require this form to be completed before students will be admitted to King's Academy Prospect. Please be aware that any offer of a place will be on the basis that the information is accurate and up to date. If a school place is offered and the supplied information is fraudulent or deliberately confusing the offer will be withdrawn even if the child has started at the school. 
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Email *
Student Legal Surname *
Student Legal Forename(s) *
What name(s) would your child prefer to be known as, if different to above?  *
Student Date of Birth *
Student Gender *
Student home address including post code  *
Which local authority do you live in (this will be on your council tax bill)

*
Required
Student nationality   *
Student's previously attended school(s) *
What year group is your child currently in/are you applying for? *
Is this student subject to a: 

None of the above 
*
Parent/carer full name (Priority 1 Contact) *
Parent/carer full address including post code *
Parent/carer contact number(s) *
Parent/carer email address *
Relationship to student *
Does the student live at the same address as the parent/carer named above? *
Parent/carer (2) full name 
Parent/carer (2) full address 
Parent/carer (2) contact number(s)
Parent/carer email address 
Relationship to student 
Clear selection
Does the student live at the same address as the parent/carer names above?
Clear selection
Is the parent/carer named above a joint priority 1 contact?
Clear selection
Additional contact full name
Additional contact address
Additional contact number(s)
Additional contact email address
Relationship to student
Clear selection
Parental salutation (e.g. Mr and Mrs Smith) *
Are there any siblings already at King's Academy Prospect? Please give details. *
Medical information - Doctor's names and surgery details  *
Medical information - does the student have any medical conditions? *
Medical Information 

None unknown 
*
Medical Information - Does the student have a Medical and Health Care Plan?  *
SEN/D Information - Does the student have an Education and Health Care Plan? *
SEN/D Information - if answered yes' above, please give details
SEN/D Information - Does the student have additional SEN/D needs, but not with an EHCP? Please give details
Is your child currently in receipt of Free School Meals  *
Ethnicity of student  *
First Language spoken at home  *
Country of Birth 
Religion 
Is the student a Looked After Child?  *
Does your child/family receive support from/through a *
Has your child been permanently excluded from any school in the last two years? *
Was your child permanently excluded from the last school they attended? *
Has your child received any suspensions from school in the last two years? *
If answered 'yes' above, please detail length and reason for each suspension *
What is your child's attendance for the current/previous academic year  *
Has your child changed school by way of a managed move or fresh start in the last two years? *
Has your child been placed on a reduced timetable in the past two years?  *
Please indicate your reason for making this application to King's Academy Prospect *
If your child is new to the country, what date did you arrive in the UK (must match the date in passport)?
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I confirm that the information I have provided on this form is correct.

I also understand that my child’s current school may be contacted.

I confirm that the information I have provided on this form is correct.

I also understand that my child’s current school may be contacted

*
A copy of your responses will be emailed to the address you provided.
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