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.
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.
Do you already have a child in Queensmead School? *
If YES, please provide the name.
Please provide first and last names.
Surname *
Forename *
Date of Birth *
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Gender *
Address *
Please also provide a post-code
Country of Birth *
Nationality *
Does the child or any member of the immediate family have a disability or medical condition, which necessitates a place at Queensmead School? *
Your details
Title *
First name *
Surname *
Your address (if different from child's)
Please also provide a postcode
Name of local authority to which you pay your council tax *
If you are moving or have recently moved house, please provide a date of move
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Proposed address (if moving)
Please also provide a postcode
Home telephone *
Mobile telephone
Email address
Do you have parental responsibility of the child? *
What is your relationship to the child? *
(eg mother, father)
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
Current education
What is the name of your child's most recent school? *
Is your child still attending this school? *
If NO, please state their last day of attendance
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What is the date a place is required at the new school?
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Please give your reasons for requesting a new school: *
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 *
Date *
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Submit
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