Additional information form

Use this form to give us additional information about your child if you are applying for 2017 entry to reception or Year 7.

Your child
Admissions information
Which class will your child be entering in September 2017? *
Children are usually eligible for Pupil Premium if their parents are claiming one or the following benefits at the time of application:
• Income Support
• Income based Job Seeker’s Allowance
• Employment & Support Allowance (must be Income Related and not Contribution Based)
• Child Tax Credit with no Working Tax Credit and where the household income is less than £16,190. You do not qualify if you are in receipt of Working Tax Credit unless you are newly unemployed, when you remain eligible for four weeks.
• Guarantee Pension credit
• NASS cards & Immigration papers
We will require proof of your eligibility if a place is offered.
Declaration
The school will offer places in good faith on the basis of information provided by parents and carers. The information given on this form is accurate and I understand that written proof of any information given may be requested.