Sixth Form Entry Application Form

Child's Legal Name: (as stated on the birth certificate) *

First

Middle

Last

Child's Date of Birth: *

King Alfred School Sibling: *

Child's sex assigned at birth *

Child's Ethnicity: *

Any other relevant information we should be aware of in relation to the above questions

Child's Nationality (if non-EU):

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home Phone Number:

Proposed season of entry:

Preferred entry year to King Alfred School:

Parents' Details

Parent 1 Salutation *

Parent 1 Full Name: *

First

Last

Relationship To Applicant: *

Parental Responsibility:

Address same as Pupil:

If No, please add address here

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent 1 Occupation: *

Parent 1 Mobile Number *

Parent 1 Email address: *

Parent 2 Salutation (if not applicable please give the details of an alternative emergency contact) *

Parent 2/Emergency Contact Full Name: *

First

Last

Relationship To Applicant:

Parental Responsibility:

Address same as Pupil:

If No, please add address here

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent 2 Occupation:

Parent 2 Mobile Number *

Parent 2 Email address:

In the case of separated parents, please indicate whether divorced or separated and with whom the child lives, and whether there is a new marriage partner and step siblings:

Are you applying for a Bursary?

Please tick this box if you will be applying for a Bursary.

Current School Information

Current School: *

Current School Email: *

Current School Date Started: *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

School Phone Number:

Other School Information

Previous School 1:

Date Started:

Date Left:

Previous School 2:

Date Started:

Date Left:

Previous School 3:

Date Started:

Date Left:

If there has been a gap in education please give more information below

Other Family Information

Other Children in family:

Name:

First

Last

Child's Date of Birth:

Current School:

Name:

First

Last

Child's Date of Birth:

Current School:

School Report

Please upload a copy of the latest full School Report and predicted GCSE grades. *

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Subject Choices

Please select THREE subjects from the list below that you are interested in studying at A Level OR just one if you are interested in studying UAL. (Please note: at this stage this is an expression of interest to help us with planning the A Level subject option blocks and we cannot guarantee subject combinations). Option blocks will be confirmed in February. *

Languages

Is English your child’s first language?:

If no, what is your child’s first language at Home?:

Does your child speak any other languages? (Please specify):

Medical History

Are there any medical conditions that could affect your child in school? (Please include Allergies and/or Dietary Needs): *

Please tell us if your child has specific health or mental health conditions *

If yes, please upload copies of any relevant supporting documents

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

To ensure that we are able to cater adequately for your child's needs, we require the following information:-

Does your Child have any Special Educational Needs?: *

If yes, please specify, if no please choose not applicable

Is your child receiving support for any aspect of their learning (Group or 1:1 Support) *

Yes
No

Are there any access arrangements in place or considered for your child? *

Yes
No

Please Upload Supporting Documents

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

What is your Child's SEN Status?:

SEN Status Starting Date:

Please Upload Supporting Documents

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

Other Information

Is there any other information that it would be helpful for the school to know? :

Please upload a headshot photograph of your child *

Drag & Drop Files, Choose Files to Upload

How did you hear of our school? (Please only select one option) *

If you are an Old Alfredian, please give your maiden name if applicable:

Please indicate why you feel that King Alfred School would be the right school for your child (Sixth Form applicants please fill this in yourselves): *

Required *

I/We accept and agree with all of the below

The above named child has the right to reside in the United Kingdom

I/We request that the name of our above-named child be registered as a prospective pupil.

I/We understand that this does not guarantee a place for our child at The King Alfred School.

I/We understand that nondisclosure of any medical/pastoral/academic information or reports on the application could result in an application being refused and/or a place offer being revoked.

I/We understand that the Terms and Conditions of the School will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the School.

I/We understand also that the School may obtain, process and hold personal information about our child, including sensitive information such as medical details, and we consent to this for the purposes of assessment and, if a place is later offered, in order to safeguard and promote the welfare of the child.

Registration payment is not required if you have registered with the school in the last 3 years:

If you have registered within the last three years please tick this box.

Registration Fee

Price: £120.00

Total

£0.00

Once you have clicked Submit you will be taken to the payment page for the £120 application fee

Parents' Details

Current School Information

Other School Information

Other Family Information

Other Children in family:

School Report

Subject Choices

Languages

Medical History

To ensure that we are able to cater adequately for your child's needs, we require the following information:-

Other Information

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