Admission Form

SECTION 1: Information relating to the child

Name *

First

Middle

Last

Gender *

Date of Birth *//

Child's Current Address - House Number *

Address Line 1 - Street *

Address Line 2 - Area *

Address Line 3 - Postcode *

Name of current school *

Current year group *

Baptised? *

Yes
No

If yes, a copy of the Baptism certificate must be attached or submitted to the school’s main office for the attention of Miss Claire Williams. If you have misplaced your child's Baptism certificate, please request a copy from the Church where the Baptism took place.

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Date & Place of Baptism

Child’s Religion, please state *

Place where your child now worships *

Please state frequency of attendance *

Name of Priest or other Faith Leader *

Does your child have a sibling at St Alban’s? *

Yes
No

If yes, please give the youngest’s name

Year of youngest child at St Alban's

Is the child in or previously been in the care of a Local Authority? *

Yes
No

If yes, please state the name of the Local Authority, and the relevant dates

Does the child hold a statement of SEN which names a school? *

Yes
No

If Yes, which school is named?

Please say why you wish your child to attend St Alban’s RC High School *

SECTION 2: Parent/Carer information

Name of Parent/Carer (1) (copy) *

First

Last

Please list parents/carers names in contact priority order

Contact number for Parent/Carer (1) *

Email address for Parent/Carer (1) *

Relationship to the child (1) *

Parental responsibility Parent/Carer (1) *

Yes
No

Address for Parent/Carer (1) if different to child

Name of Parent/Carer (2)

First

Last

Contact number for Parent/Carer (2)

Email address for Parent/Carer (2)

Relationship to the child (2)

Parental responsibility Parent/Carer (2)

Yes
No

Address for Parent/Carer (2) if different to child

SECTION 3: Data collection

Answers to the following questions will not be used as part of the admission process, but are required for school census and administration purposes. Please take the time to answer all questions below:

Ethnic Origin *

First language *

Home language *

Nationality *

Level of Welsh language *

Fluent
Partial
Cannot speak Welsh at all

Medical conditions: (Please enter 'No' if none known)

Name of Doctor *

Surgery Address *

Surgery contact number *

Do you give parental consent for *

Student photographs
School visits
Internet Access

I wish to apply for my son / daughter to be admitted to St Alban’s R.C. High School, commencing on *

(Proposed date of admission)

If there are more applications than places available, I wish my application to be considered under over-subscription criterion number *

(For definition of criteria see Admissions Policy, you must select a number 1-15)

Application completed by Parent / Carer *

First

Last

Date *

ADMISSIONS

Admission Form

SECTION 1: Information relating to the child

SECTION 2: Parent/Carer information

SECTION 3: Data collection