School Transfer Application Form

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School Transfer Application Form Primary, including Infant and Junior (not Academy 360 or Grindon Hall Christian School) It is important that you provide as much information as possible to assist in the admission process. Please note that your child is not guaranteed a place at any school (this includes your nearest school(s)). Sections A and B must be complete in order to apply for a school place. Section B is to be completed by your child s current school; applications will not be considered by the transfer school without this information. Once Sections A and B have been completed, the form must be forwarded to the school that you would like your child to attend. If you have any further queries, please contact 0191 520 5553 or Email: enquiries@sunderland.gov.uk Section A to be completed by the parent/carer Name of child:... male/female (delete as appropriate) Date of birth:... Current school year group:... Address:...... Post code:... Name of parent/carer:... Relationship to child:... Tel No:... Email address:... Current/previous school:... Local authority where this school is located:... Previous schools (please list by date all schools previously attended and the local authority area they are in): Date School Local authority area 1.......... 2.......... 3.......... 4.......... Pupil s religion (if applying for a RC aided school):... Does your child have an Education, Health and Care (EHC) plan or a statement of special needs? YES NO Is the child looked after by a local authority? YES NO If yes, name of local authority:...

Section A continued Is your child previously looked after but now adopted? YES NO Is your child subject to a residential order or special guardianship order? YES NO Please give the name of their Social Worker:... Does you child live with someone other than yourself or another family member? YES NO If so please state relationship with this person:... How long has this arrangement been in place?... Has your child been permanently excluded from any school? YES NO If YES, please give details:... Please state your full reasons for the transfer request (continue on a separate sheet if necessary): Does this child have any siblings of school age? (see notes for definition of sibling) YES NO If yes, name of child:... DOB:... Name of school attending:... I would like my child to attend (If you have more than one choice please state in order of preference):- 1.... 2.... 3.... When would you like your child to start this school?... Signature of parent/carer:... Date:... BEFORE SUBMITTING YOUR APPLICATION FORM YOU MUST ASK YOUR CURRENT SCHOOL TO COMPLETE SECTION B. Please note that parents/carers have the right to apply for a school transfer. Headteachers may not support applications for children to leave their schools unless there are exceptional circumstances e.g.: The child has moved house and the journey to school is no longer manageable There has been an irretrievable breakdown in relationships with staff and parents have made every effort to work with the school to address the issue There has been an irretrievable breakdown in relationships with other children and parents have made every effort to work with the school to address the issue Please note 1. Your child s current school has 5 working days to complete section B and forward sections A and B to the school that you would like your child to attend. 2. The school or Local Authority reserves the right to seek proof of address and withdraw an offer of a place, if any inaccurate information or address is given on the application. 3. The transfer school will need to see a copy of your child s birth certificate/passport before admission. This is for safeguarding purposes, in order to verify your child s identity. 4. If you are applying for a place at a Roman Catholic school, you may be required to provide a copy of your child s Baptism certificate in order to consider the application against the school s admission criteria.

Section B to be completed by current school Date received from parent: Please note that you have 5 working days to complete section B and forward sections A and B to the first school named by the parent/carer in Section A or, School Admissions Team, Sandhill Centre, Grindon Lane, Sunderland SR3 4EN or email: school.admissions@sunderland.gov.uk School action School action+ Under assessment EHC Plan Stage of the code of practice English as a second language Please tick where appropriate* * For the sections ticked, please supply copies of reports or provide relevant comments/info on an additional sheet None of previous applicable Please provide percentage attendance for Last school year:...% Current school year:...% Is the child currently attending school YES NO Comments: Has there been education welfare/social work/inclusion & attendance involvement? YES NO Comments: Has there been support service involvement? YES NO (i.e. behaviour intervention team, educational psychologist, etc) Details: Has there been involvement from other agencies? YES NO Comments: Sibling details (currently attending your school) Name Year group Comments

Section B continued Details of qualifications being taken or key stage level achieved: Courses being taken (e.g. Maths) Qualification type (e.g. GCSE or KS level) Exam board (e.g. AQA/Edexcel) Details of any fixed term exclusions: Is the student at risk of exclusion? YES NO Are there any issues that might be of concern to a receiving school? YES NO Any other information or comments (submit extra information separately if necessary): Are you able to support this transfer request? YES NO Signed:... Print:... Designation/title:... Date:... Authorised by Headteacher:... Print:... Name of School:...

Section C for completion by the requested school Name of child: Year group: Name of school: We have vacancies in this year group? YES NO If the year group is oversubscribed, please indicate below the current number of children that are in all year groups, in the event parent/carer submits an appeal. A copy of the application form must be forwarded to the School Admissions Team if the year group is full. Current numbers PAN Current numbers PAN Current numbers PAN Reception Year 1 Year 2 Decision of school: Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Please select one of the options below by circling the number and adding comments where appropriate: 1. There are places in the year group and we accept the transfer. Date of admission agreed as: A copy of Section C must be returned to the child s current/previous school. 2. This application meets the agreed criteria within the managed move protocol and I will contact the Headteacher of the current school to discuss this further. Please note this is only possible where the current school is a Sunderland school. A copy of the completed application form must be emailed to michelle.burlinson@sunderland.gov.uk 3. We have places in the year group but wish this to be considered under the fair access protocol. This only applies if the pupil meets the agreed criteria. Please note that details of the reasons for this decision and any supporting evidence must be emailed to school.admissions@sunderland.gov.uk Have you met with the family? YES NO Comment Signed:... Print:... Title:... Date:... Name of School:...

Transfer Process Primary Schools (not Academy 360 and Grindon Hall Christian School) Stage 1 Parent/carer completes Section A of the Transfer Application Form Stage 2 Section B is completed by current school Stage 3 Form is forwarded to number 1 school Place available Yes/No No Yes School and parent/carer arrange start date Year Group Full Academy/Aided school Year Group Full Community/Controlled school Academy/School sends letter to parent/carer to confirm year group and advise of right of appeal School Admissions Team send letter to parent/carer to confirm that year group is full advise of right of appeal Copy of letter and application form forwarded to School Admission Team Application emailed to Number 2 school (if applicable) by School Admissions Team - Restart Stage 3 Application emailed to Number 2 school (if applicable) by School Admissions Team - Restart Stage 3 sc20609