Common Application Form - Lambeth Council

Completed supplementaryinformation forms must bereturned to the school by 19or 26 October 2012, dependingon the school.Department for Education(DfE) codeEach school has it’s own uniqueDfE code. Lambeth codes areprinted in each schools’ details inthe ‘Secondary Schools in Lambeth2013/14’ booklet. For codes ofschools in other boroughs, pleasecontact either the schoolsdirectly or the council where theschool is based.SiblingsIf your child has a brother or sisterattending a secondary school inSeptember 2013 please givedetails in the section provided.A sibling is defined as a full/half/stepbrother or sister, living at the sameaddress, a child who is living aspart of the family by reason of acourt order, or a child who hasbeen placed with foster carers atthat address as a result of being‘looked after’ by the council.Please note that LambethSchool Admissions Teamwill not process faxed orphotocopied forms; onlyforms with the originalsignature will be accepted.Forms can be downloadedfrom www.lambeth.gov.uk/eadmissionsYou can also apply online fromthis site (see page 5 of the‘Secondary Schools inLambeth 2013/14’ booklet).Are you and your child Lambeth residents?Yes No (if no, do not complete this form. Please contact the school admissions team in the authority whereyou live and complete their CAF)Does your child have a statement of SEN?Yes (if yes, do not complete this form. Please contact the SEN department for further details) NoWas your child born between 1/9/01 and 31/8/02?Yes (please go to section 1) No (if no please do not complete this form, contact Lambeth SchoolAdmissions Team for the correct form)Section 1Child’s details – as on their birth certificateChild’s first name(s)Surname/last nameChild’s date of birthDay Month Year Boy/GirlChild’s home address(This must be theaddress where thechild currently lives.If this is different fromthe parent/careraddress, please givereasons for this.If parents sharecustody, this mustbe stated and bothaddresses shown –see Section 3)PostcodeIs parent/carer address different? Yes No (please tick as appropriate)If yes, please give reason(s)If parents/carers live at different addresses do they share custody?Yes No N/A (please tick as appropriate)3

Primary schoolSchool nameSchool address(please giveaddress if school isoutside Lambeth)DfE codeSection 2PostcodeSocial/medical and special educational needsIf you think that there are exceptional medical or social reasons why your child should attend a particularschool please complete this section. Please note that you must provide professionally supported evidencewith this application form if there are any social/medical circumstances that you would like a school to considerwith this application. You need to tick the relevant box for each school you want the social/medical needs to beconsidered for.It is very important that you check the admission criteria of each school for which you are applying to seeif priority of admission can be given on the basis of social/medical needs.Please identify the social/medical need that your child is experiencing.Nature of evidence attached, e.g. GP letterIs this child a ‘looked after’ child/child in care of the council? Yes No(please tick the relevant box)If yes, whatborough is the child‘looked after’ by?Social worker’s nameYou must attach a letter from the child’s social worker confirming this child’s status as a ‘looked after’ childto this Common Application Form.This information will be taken into consideration with this application as all schools put ‘looked after’children ashigh priority in their admissions criteria.4

Section 3Parents/carers detailsParent/carer 1 Title (please circle) Mr Mrs Miss Ms OtherFirst nameSurnameRelationship to childAddress(if different fromchild’s addressin Section 1)PostcodeHome telephoneDaytime telephoneMobile telephoneEmail addressParent/carer 2 Title (please circle) Mr Mrs Miss Ms OtherFirst nameSurnameRelationship to childAddress(if different fromchild’s addressin Section 1)PostcodeHome telephoneDaytime telephoneMobile telephoneEmail addressSection 4Secondary school preferencesPlease indicate up to SIX secondary schools which you would wish to apply for in the order that youprefer them. You must include all secondary schools you want to apply for using this form, whetherthe school is in Lambeth or different borough, except special or private (fee-paying) schools. Yourapplication details will then be forwarded to the relevant borough/school as appropriate. Please statethe borough the school is situated in and DfE code for each school.Please use the space provided if you wish to give your reasons for your preference of school. These can includereligious, philosophical, specialist or other reasons. If you feel that there are any exceptional medical, social orcompassionate reasons why your child should attend a particular school, as noted in Section 2, please tick thebox underneath your preference and provide the relevant documents to support this.5

Preference 1School nameBorough of schoolDfE codeDetails of any siblings (brother or sister) attending this school who will still be there during the 2013/14 academic yearSibling first nameSibling surnameDay Month Year Boy/GirlSibling date of birthDo you wish to identify any social/medical needs as noted in Section 2 to apply to an application to this school?YesNo (please tick as appropriate)Reason for choice(optional)Preference 2School nameBorough of schoolDfE codeDetails of any siblings (brother or sister) attending this school who will still be there during the 2013/14 academic yearSibling first nameSibling surnameSibling date of birthDay Month Year Boy/GirlDo you wish to identify any social/medical needs as noted in Section 2 to apply to an application to this school?YesNo (please tick as appropriate)Reason for choice(optional)Preference 3School nameBorough of schoolDfE codeDetails of any siblings (brother or sister) attending this school who will still be there during the 2013/14 academic yearSibling first nameSibling surnameSibling date of birthDay Month Year Boy/GirlDo you wish to identify any social/medical needs as noted in Section 2 to apply to an application to this school?YesNo (please tick as appropriate)6Reason for choice(optional)

Preference 4School nameBorough of schoolDfE codeDetails of any siblings (brother or sister) attending this school who will still be there during the 2013/14 academic yearSibling first nameSibling surnameDay Month Year Boy/GirlSibling date of birthDo you wish to identify any social/medical needs as noted in Section 2 to apply to an application to this school?YesNo (please tick as appropriate)Reason for choice(optional)Preference 5School nameBorough of schoolDfE codeDetails of any siblings (brother or sister) attending this school who will still be there during the 2013/14 academic yearSibling first nameSibling surnameSibling date of birthDay Month Year Boy/GirlDo you wish to identify any social/medical needs as noted in Section 2 to apply to an application to this school?YesNo (please tick as appropriate)Reason for choice(optional)Preference 6School nameBorough of schoolDfE codeDetails of any siblings (brother or sister) attending this school who will still be there during the 2013/14 academic yearSibling first nameSibling surnameSibling date of birthDay Month Year Boy/GirlDo you wish to identify any social/medical needs as noted in Section 2 to apply to an application to this school?YesNo (please tick as appropriate)Reason for choice(optional)Please turn over the page for the declaration and signature7

Please identify any other school(s) you may have applied to which is not previously referred to on thisform including private (fee-paying) school(s).Checklist – before returning this form, please ensure that you have:• Researched thoroughly each school you areinterested in. If it is not a Lambeth school youwill need to obtain information from the schoolor the school’s borough.• Checked that your child’s address is withinLambeth borough.• Checked that your child meets the admissionscriteria for the schools you are considering.• Completed all relevant sections of this form,including the child’s name on the front cover.Failure to complete this form in full may hinderits processing.• Enclosed any supporting evidence (eg a letterfrom the family doctor/consultant in support ofany medical or social claim).•Obtain and complete supplementary informationforms. They should then be returned to the schoolbefore the deadline set by the school for returningthese forms.• Please note we can only send a receipt as proofthat this form has been received by LambethSchool Admissions Team if a stamped addressedenvelope is attached.The completed common application form shouldbe returned by Friday 26 October 2012, but nolater than 31 October 2012 to:By post: Lambeth Schools Admissions Team,CYPS Service, 6th Floor, International House,Canterbury Crescent, London, SW9 7QEBy hand: Customer Service Centre,Olive Morris House, 18 Brixton Hill, London SW2 1RD.(Monday-Friday 9am–5pm; Thursdays 9am–7pm)Please note that outcome letters are sent out on 1 March 2013 for ‘on time’ applicants. CommonApplication Forms received after 31 October 2012 will be late and will not be processed untilafter 1 March 2013 when offers have been generated for ‘on time’ applications.Section 5Declaration and signature of parent/carer• Please ensure you have gone through the checklist above BEFORE signing this section• I have completed each section of this form, including writing my child’s name on the front.• I have enclosed supporting evidence if applying for a school because of social/medical reasons.• I wish to apply for a place at each of the schools named in Section 4, and I have listed these schoolsin my order of preference.• I understand that once this form is submitted, after 26 October 2012 (or the very latest, the 31 October 2012),no changes to preferences will be permitted.• I certify that I am the person with parental responsibility for the child named in Section 3 who lives inLambeth borough, and that the information given is true to the best of my knowledge and belief.• I understand that any false or deliberately misleading information given on this form and/or supportinginformation may render this application invalid, or lead to the offer of a place being withdrawn.Day Month YearParent’s/carer’s signatureDateInformation supplied will be used for registered purposes under the Data Protection Act 1998.810342 b CY (06.12)