Application form - One Degree Academy
Please complete this form for a place at One Degree Academy. This form is for in year entry, or applications for year 1. For reception 2017 places for September, please visit the Enfield Council Website and Name One Degree Academy on your form - https://new.enfield.gov.uk/services/children-and-education/children-young-people-and-education/school-admissions-and-information/admissions-applications/

All offers for The One Degree Academy will be made in accordance with our admissions policy.

Your Child's details
1a. Your child's first name
Your answer
2. Your child's middle name(s)
Your answer
3. Your child's family name
Your answer
4. Your child's date of birth
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DD
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YYYY
5. Your child's gender
Child's address
Where parents have shared responsibility for a child/children and live in different homes, the permanent address should be where the child lives for the majority of time or, if the time is spent equally between the homes, from that which is closest to the school.
6. Your child’s permanent address and postcode
Your answer
7. Is this child a twin, or part of a multiple birth?
Parent and Carer Details
8. Salutation
9. Your first name
Your answer
10. Your family name
Your answer
11. Your relationship to the child
Your answer
12. Your permanent address and postcode (if different to child’s or if you intend to move to a new address)
Your answer
12a. If moving, what date will you start living at this address?
MM
/
DD
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YYYY
13. Your phone number
Your answer
14. Your email address
Your answer
15. Does your child have a sibling currently on roll at the school?
16. Is your child in public care ("looked after")?
17. If ‘Yes’, which Local Authority?
Your answer
18. Do you or any other parent/ guardian work for One Degree Academy?
19. Is your child eligible for ‘pupil premium’ or ‘services premium’*?
Other information - Please write any questions or notes here
Your answer
Declaration
Declaration
If you deliberately give false information you must expect that we will withdraw the offer of a school place, should you be offered one.

• All the information I have given on this form is correct.
• I confirm I have parental responsibility for this child.
• I understand that you may share this information with Local Education Authorities as Appropriate
• I understand that you are entitled to request further information to verify the details given on this form are correct
• I wish to apply for a place at the One Degree Academy Free School for the previously named child starting in September 2016.

Completing below acts as a signature and confirmation of your application

21. Your full name
Your answer
*'pupil premium' or 'services premium'
The pupil premium is additional funding for publicly funded schools in England to raise the attainment of disadvantaged pupils and close the gap between them and their peers. Your child will be eligible if they are registered as eligible for free school meals , have been registered as eligible for free school meals within any of the past 6 years, are a looked after child or child of armed forces personnel

You are eligible for pupil premium if you receive either: Income Support, Income-based Jobseekers Allowance, income-related employment and support Allowance, support under Part VI of the Immigration and Asylum Act 1999, the guaranteed element of State Pension Credit, Child Tax Credit (provided you’re not also entitled to Working Tax Credit and have an annual gross income of no more than £16,190), Working Tax Credit run-on - paid for 4 weeks after you stop qualifying for Working Tax Credit Universal Credit.

You are eligible for services premium if you have children whose parent(s) are serving in the regular UK armed forces, children of ex regular UK armed forces personnel who were serving in the last 3 years or children where at least one parent died while serving in the UK armed forces and the child is in receipt of a pension under the Armed Forces Compensation Scheme (AFCS) and the War Pensions Scheme (WPS)

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