In-Year Admission Form

Do not complete this form if your child is under formal assessment for an EHCP or currently has an EHCP in place and you are looking to change the named school. In this case you must contact the local authority.

You must complete an application for every child (i.e., one each for twin / sibling) who requires a school place.

"*" indicates required fields

Step 1 of 3

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Name of the school within the Trust to which you are applying for a place*

Child's Legal Surname*

Child's Forename(s)*

Child's Date-of-Birth*

School Year Group*

Gender*

Child's home address*

Street Address City Postcode

Are you in the process of moving house?*

Yes

Child's new address

Street Address City Postcode

Date of Move

Title*

Name of Parent/Guardian(s)*

Parental Responsibility*

Yes

Does the child live with you?*

Yes

Your relationship to the child*

Your home address (if different to child's)

Street Address City Postcode

Child's first language*

Parent's first language*

Home number

Mobile number*

Email address*

Reason for transferring schools Please tick appropriate box(s)

Moving to Lancashire from outside of the UK

Moving to Lancashire from another local authority

Moving from one area of Lancashire to another

School to School Transfer within the same authority

Leaving Private Education

Leaving Elective Home Education

Other

Please state the Country you are moving from

Has the child arrived in the UK?

Yes

What date did the child arrive?

What date will the child arrive?

Please state Local Authority

Please state area

School History

School Name*

Date from*

Date last attended*

Older Sibling Information

Details of any older sibling that will attend the school when the younger child starts. (Siblings include brothers and sisters, stepchildren, half brothers and sisters, adopted and foster children living with the same family at the same address).

Older Sibling Name(s)

Date of Birth

Older Sibling Name(s)

Date of Birth

Older Sibling Name(s)

Date of Birth

Pupil Background

Previous Education/Support History (Please tick as appropriate)

Is this pupil in care (Looked After/Previously Looked After)? If yes, to which Local Authority

Children's Services involvement? If yes, please provide social worker's name:

Is this pupil part of a travelling community?

Previously Permanently Excluded?

Previous Suspension Record?

Are you a Crown Servant? If you are UK service personnel or other Crown Servants living abroad with your family please tick YES. You will need to provide an official MOD, FCO or GCHQ letter declaring your relocation date and address.

Special Educational Needs Status (SEN)

Education Health and Care Plan (EHCP)

Under Formal Assessment

Additional Information About Your Application/School Preferences

Additional information to support your application may be provided. This can be medical, social and welfare information relating to the pupil and/or the family. Evidence from an appropriate professional (e.g., doctor, health visitor, social worker) can be attached. Please continue on a separate sheet if necessary.

Signature*

I confirm that the information provided is accurate at the time of this application. I/We acknowledge that the admission authority and/or Local Authority have the right to verify the information given on this application. I/We acknowledge that the offer of a place will be based upon this application and that an offer may be withdrawn if subsequently it is found to have been made in relation to inaccurate or misleading information. I/we will provide evidence of the pupil's permanent address and date of birth prior to or after taking up a school place if requested. In order to satisfy our mandatory requirements this form will be shared with the local authority.

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