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Application form for Place in a Nursery Class at a Provided Primary School
Name of School...........................................................................................................
Name of child ............................................................................................................. Date of birth... Sex (M or F).....
Please complete and return only 1 application form.
Do not submit another form to any other States Primary School.
You will automatically be considered for all of the schools that you have noted in response to
question 3.
If you change your address and wish to alter your form, you may do so by contacting the school and having them alter your original form thus retaining the priority coming from your date of
application. If more than one application form is received for the same child, only the most recent application will be considered and earlier versions destroyed.
The information you provide will be processed for educational purposes. To ensure confidentiality and privacy, all processing will be carried out under the requirements of the Data Protection (Jersey) Law 2005. This information may be disclosed and used outside of
the Education, Sport and Culture where it is considered to be in the student's best interest to do so. Should you require us to seek your individual consent to these disclosures, please advise us in writing.
Application form for Admission to Nursery Class
This form to be completed and given to the headteacher of the school when applying for a place, who will discuss your application with you.
1. Name of Parent/Guardian Address .......................................................................... ........................................................................... Tel . ........................................................................... Name of child. ........................................................................... Date of birth Date of application. Siblings in school. (School to complete) | |
2. Has your child been to: Play group Child Minder /Mother/Toddler Group What hours would best meet your family needs | Please state where and for how long ........................................................................... ........................................................................... AM PM All day Yes/No Yes/No Please circle |
3. If you are not allocated a place in this school, list in order of preference, any Schools where you would consider accepting a place |
|
4. Has your family received assistance from any of the following support agencies or other similar groups | Please give details CAMHs.. Speech therapy.... Physiotherapy.. Children's Office.. Others (please state) |
5. Are there any family circumstances that we should be aware of | .......................................................................................................... .......................................................................................................... .......................................................................................................... |
6. Is there any additional information you would like to add to support your application | .......................................................................................................... .......................................................................................................... .......................................................................................................... .......................................................................................................... |
Admission to nursery does not guarantee a place in school
To be completed and signed by Parent/Guardian before formal admission
Date of Admission
Name of Child Date and place of birth Address Telephone number
Country of Origin of Parents
Position in family Number of brothers and sisters
Please give names and ages.
Pre-school experiences Name of Establishment Length of time Child Minder
Play group
Mother/Toddler Group
Others
Languages spoken at home
Child's first language Parent's first language
If Bi-linguage home -
does child understand English? speak English?
Alternative contact in case Name and relationship Telephone number of emergency :
Other information
I agree to my child taking part in visits and activities arranged and published as part of the nursery class programme in accordance with the Committee's Policy for Educational Visits.
Parent/Guardian Signature .........................................................................................
Criteria for allocation of nursery places:
2.3.3 The provision of places in nursery classes must take account of the needs of individual children. Particular consideration will be given to the following:
Children with specific social/educational needs;
Children from families with particular needs (e.g. low income families, siblings with special needs, parental illness);
Children with siblings in the school;
Maintaining approximately an equal numbers of boys and girls in the class;
Balancing the social and educational demands of the group;
20% of children may be taken from outside the catchment area;
Date of application.
Once places are allocated you will receive a letter from a school either:
- offering you a place or
- informing you that your application has been unsuccessful and you have not been allocated a place.
If you have made separate application to more than one school, you will still only receive one letter as above.