IKB Academy: Year 10 Application Form
Please complete all sections of the form below.
Section 1: Student details
Forename *
Your answer
Surname *
Your answer
Gender *
Date of birth (dd,mm,yyyy) *
Your answer
Address line one *
Your answer
Address line two *
Your answer
Address line three
Your answer
Postcode *
Your answer
Name of present school *
Your answer
Section 4: Parent/carer details
Primary contact

Please list the person we would need to contact in an emergency or regarding your course, e.g. parent/carer.

Title *
Required
Parent/carer name *
Your answer
Address line 1 (if different from above)
Your answer
Address line 2
Your answer
Address line 3
Your answer
Postcode
Your answer
Contact telephone number *
Your answer
Work/mobile number *
Your answer
Email *
Your answer
Confirm email *
Your answer
Does the child have an EHCP? *
Does the child have additional needs?
Does the child have a sibling at IKB Academy?
Is the child in the care of local authority or a looked after child?
Data Protection Act 1998:
The information you supply will be held in a computer database, which will be used by The IKB Academy, The Wellsway Multi Academy Trust and the Local Authority. The information will be used for the sole purpose of fulfilling the requirements of administrating admissions and associated matters.
Declaration *
Required
How did you hear about IKB Academy? *
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