IN-YEAR APPLICATION FORM (PRIMARY)

Please complete this form to apply for an in-year place at The Piggott School: Charvil Primary.

This form should only be used to apply for a place outside of the normal admissions round (i.e. for places in year groups other than Reception in September).

Please complete one form for each child that you are applying for.

Applications can only be made for the current term (if moving into the area) or for the next half term.

All questions marked with a * must be completed and other sections should be completed where applicable.

Applications can take up to 15 school days to be processed.

SECTION 1: APPLICATION INFORMATION

Please tell us the date from which admission is required (dd/mm/yy)* Which year group are you applying for?* Please select the reason for your application:* Please enter the parent email address to receive updates on your application*

SECTION 2: STUDENT DETAILS

Please complete the below fields with the student's details

Student's legal first name:* Student's middle name(s): Student's legal surname:* Student's preferred first/surname (if different from legal names) Student's date of birth* Student's sex*

SECTION 3: PARENT DETAILS

Applications should be made by persons with parental responsibility for the student.
Please complete the below sections with the student's parent details.

Parent 1 details

Parent 1 title* Parent 1 first name:* Parent 1 surname:* Does Parent 1 have parental responsibility for the student?* Parent 1 phone number:* Parent 1 email address:* Parent 1 current address:* Parent 1 postcode:* Is this the student's address?*

Parent 2 details

Parent 2 title Parent 2 first name: Parent 2 surname: Does Parent 2 have parental responsibility for the student? Parent 2 phone number: Parent 2 email address: Parent 2 current address: Parent 2 postcode: Is this the student's address?

SECTION 4: NEW ADDRESS (if applicable)

If you are moving house, please complete the below sections. If you are not moving and have entered your address in the previous sections then please leave blank and continue on to the next section.

Anticipated date of move: New address: New address postcode:

Evidence of move will be required before we can use the new address for the application.

Please upload proof of residency at your new address. This could be in the form of a signed rental agreement, a council tax bill or other to show that you will be living at the property.

SECTION 5: CURRENT OR LAST SCHOOL

Please note that The Piggott School may seek further information from your child’s current school and/or Wokingham Borough Council to verify information provided on this application form or to determine whether the Fair Access Protocol should be considered for your child’s application.

Please enter the name of the student's current or last school:* Address of student's current or last school:* Date of last attendance, if not currently attending Reason for leaving or reason for request to change school:* Have you discussed the proposed change of schools with your child's current school? Is there any additional information which you consider is relevant to this application? In particular whether you consider the application should receive consideration under Wokingham Borough Council’s Fair Access Protocol (available on the in-year page at: www.wokingham.gov.uk/admissions) (If applicable) Please upload any supporting documentation that you feel is relevant to your application

SECTION 6: ADDITIONAL INFORMATION

Does the student have an Education, Health and Care Plan (EHC)?* Is the student looked after or previously looked after by a local authority?* Does the student have a sibling already on roll?* What is the name of the student's sibling on roll? (if applicable)

SECTION 7: DECLARATION

Personal information contained in this form is subject to (EU) General Data Protection Regulations (GDPR). If you would like more information about The Piggott School uses your data please see our Privacy Notice(s) which are available on our website:

http://www.piggottschool.org/page/?title=Privacy Notices&pid=150

I understand that this information will be stored securely and may be shared with any appropriate agencies.

The local authority and school reserves the right to carry out further investigations and require additional evidence to verify information contained in this form, including contacting the child’s previous school.

I declare that the information I have given on this form is correct and that I am the person with parental responsibility for the child named above.

I confirm that, to the best of my knowledge, the declared address will continue to be the child’s residence beyond the start of school and I will inform the school of any changes.

I have read and understood the admission arrangements and criteria and have completed and submitted any additional or supplementary information forms which may be required.

I understand that applications can take 15 school days to process once all supporting evidence has been submitted.

I understand that any place offered may be withdrawn if I give false or misleading information.

I give permission for my child’s previous school to be contacted and information regarding this application to be obtained.

Select one of the following*I confirm that I have understood and agree to the above declarationI do not agree to the above declaration (please note that we will be therefore be unable to process your application)

Signed (please type your name):*