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Academy admissions appeals form
Online admissions appeals form to Learning Community Trust academies
Step
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5
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Which Learning Community Trust academy are you appealing the admission decision about?
(Required)
Please select...
Allscott Meads - Primary
Burton Borough - Secondary
Charlton School - Secondary
Crudington - Primary
Ercall Wood - Secondary
Hadley Learning Community - Primary
Hadley Learning Community - Secondary
Kickstart - Specalist
Lantern - Primary
Queensway - Specalist
Severndale - Specalist
New Road - Secondary
Wrekin View - Primary
Important information>Details given on this form may affect the outcome of your appeal. Details of your child’s address are particularly important, and all information may be checked by the local authority. Information may also be requested from another education authority, school, college or other place of education for the purposes of verifying your child’s previous educational placement. We may withdraw any school place offered if the information you have provided is found to be fraudulent or intentionally misleading
Data processing consent
(Required)
I consent to the information given on this form will be processed in line with the Trust's privacy and data protection policies.
Please provide the personal details of your child in this section
In this section your are providing details about the child's place you are appealing about at the selected academy.
Legal forename(s)
(Required)
Legal surname
(Required)
Date of birth
(Required)
Day
Month
Year
Gender assigned at birth
(Required)
Please select...
Male
Female
Current school
(Required)
If not currently in education, please put N/A
Does your child have special educational needs, and has a statement or EHCP?
(Required)
Yes
No
Is your child looked after by the local authority?
(Required)
Yes
No
Is your child adopted from care?
(Required)
Yes
No
Do you live in the catchment area of the academy?
(Required)
Yes
No
Do you have a second child who you would like to appeal their place at the selected academy?
(Required)
Yes
No
Please provide the personal details of your second child in this section
In this section your are providing details about a second child's place you are appealing about at the selected academy.
Legal forename(s)
(Required)
Legal surname
(Required)
Date of birth
(Required)
Day
Month
Year
Gender assigned at birth
(Required)
Please select...
Male
Female
Current school
(Required)
If not currently in education, please put N/A
Does your child have special educational needs, and has a statement or EHCP?
(Required)
Yes
No
Is your child looked after by the local authority?
(Required)
Yes
No
Is your child adopted from care?
(Required)
Yes
No
Do you live in the catchment area of the academy?
(Required)
Yes
No
Parent/carer 1 and the person completing this form
Forename(s)
(Required)
Surname
(Required)
Preferred/primary contact number
(Required)
Addtional/secondary contact number
Email address
(Required)
Please enter your email
Please confirm your email
Parent/carer 2
Forename(s)
Surname
Is either parent employed by the academy?
(Required)
Yes
No
Address
Child(ren)'s current address
(Required)
Address line 1
Address line 2
Town/city
County
Postcode
Have you recently moved to this address?
(Required)
Yes
No
Are you moving to a new address shortly?
(Required)
Yes
No
Please provide the address which you are moving to
(Required)
Address line 1
Address line 2
Town/city
County
Postcode
Other siblings
Do the child(ren) have other siblings aged 0-16
(Required)
Yes
No
Please list all other siblings aged 0-16
(Required)
Siblin name
Date of birth
Current pre-school/school
Add
Remove
Notice period
At a later date the Clerk to the Appeals Panel, will send a notice of the date and time of the Appeal Panel’s hearing together with a copy of the response. At that stage, you will be asked whether you wish to attend the hearing, with or without a representative. Appeal hearings take approximately 3 weeks to arrange. The Academy will give parents 14 days’ notice of the date of an appeal hearing. If parents are prepared to shorten the normal period of notice, it may be possible to arrange an earlier appeal.
Do you wish to shorten the normal 14 days’ notice period?
(Required)
Yes
No
Written supporting statement
In this box please clearly state the reasons (in order of priority) for your appeal. If you do not state your reasons it may not be possible to schedule an appeal hearing
(Required)
Declaration
Information accuracy and address checking consent
(Required)
I certify to the best of my knowledge the information given is correct. I understand that by signing this form I am also giving permission for my name and address to be checked against Telford & Wrekin Council’s Council Tax Records
Parental consent
(Required)
I, the person completing this form have parental responsibility for this child.
Signature of parent/carer
(Required)
Date signed
Day
Month
Year
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