Sixth Form Admissions Form - Bournemouth School

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Student's Details - Step 1 of 8

Student's legal name *

First

Middle

Last

Name(s) known by (if different)

First

Last

Student's gender *

Male
Female
Other (please specify)

Other gender *

Student's date of birth *

Previous school (where GCSEs were completed) *

Student's home address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Student's mobile phone number *

First parent/guardian

Title *

Name *

First

Last

Relationship to student *

Parental responsibility

Having parental responsibility means assuming all the rights, duties, powers, responsibilities and authority that a parent of a child has by law. People other than a child's natural parents can acquire parental responsibility through:

being granted a residence order,
being appointed a guardian,
being named in an emergency protection order, or
adopting a child.

A local authority can acquire parental responsibility if it is named in the care order for a child.

Parental responsibility? *

Legal guardian? *

Lives with student? *

Emergency contact priority? *

First
Second

Home telephone number

Mobile telephone number

Email address *

Email is our primary means of communicating with parents. Please ensure you provide a current email address.

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you wish to add details of a second parent/guardian? *

If you wish to add details of a third or further parents/guardians, you will have the opportunity to do so at a later date.

Second parent/guardian

Title *

Name *

First

Last

Relationship to student *

Parental responsibility

being granted a residence order,
being appointed a guardian,
being named in an emergency protection order, or
adopting a child.

A local authority can acquire parental responsibility if it is named in the care order for a child.

Parental responsibility? *

Legal guardian? *

Lives with student? *

Emergency contact priority? *

First
Second

Home telephone number

Mobile telephone number

Email address *

Email is our primary means of communicating with parents. Please ensure you provide a current email address.

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Living arrangements

Emergency contacts

Please provide details of up to two additional contacts who can be contacted in an emergency. These must be people other than the main parental contact(s) provided earlier, and for whom you give consent to collect the student from school if parents are unavailable.

First emergency contact

Title *

Name *

First

Last

Relationship to student *

Daytime telephone number *

Do you wish to add details of a second emergency contact? *

Second emergency contact

Title *

Name *

First

Last

Relationship to student *

Daytime telephone number *

Please give full details of any medical conditions. Any associated documentation can be sent via email to [email protected] with the full name of the student.

Does the student have any medical condition of which we should be aware? *

Details of medical conditions, including allergies

Medical condition type

Severity

Treatment (if any)

Does the student have any special dietary requirements? *

Details of dietary requirements

Dietary requirement

Was the student eligible for free school meals in Year 11? *

We will ask you to provide details of your free school meals entitlement if you have not already done so. This may be emailed to [email protected] (with the full name of the student) or placed in a sealed envelope marked for the attention of the Admissions Manager and handed in to school reception.

Was the student eligible for examination access arrangements in Year 11? *

We may ask you to provide details of your examinations access arrangements if you have not already done so.

Hampshire Futures

During the student's time at Bournemouth School, we may offer them advice from our careers service, Hampshire Futures. We require your consent to share limited data with this provider. Further details may be found on our website under Privacy notice for parents.

Hampshire Futures *

Yes, I agree to sharing of relevant data with Hampshire Futures
No data may be provided to Hampshire Futures

Photographs *

I give permission for the school to use the student's image in appropriate ways and subject to the safeguards outlined by the school
I do not give permission for the school to use the student's image

Student's first language *

English
Other (please specify)

Other language *

Young carer

A young carer is someone under 18 who helps look after someone in their family, or a friend, who is ill, disabled or misuses drugs and/or alcohol. There are about 700,000 young carers in the UK; that's about one in 12 secondary-aged pupils. We would like to support the young carers in our community and would that you complete this question to facilitate this.

Is the student a designated young carer? *

Ethnic information

The information which you provide will be used to compile statistics on the school careers and achievements of children from different educational backgrounds, to help ensure that children from all backgrounds have the opportunity to fulfil their potential.

The information will be passed on to any school to which the student may subsequently transfer. It will also be passed on to local and national statistics.

Ethnic information *

Special educational needs and/or disabilities (SEND)

We are committed to making sure that school is a happy and successful experience for all of our students. Where a student has a particular difficult or need, we will do our best to put measures in place to overcome this.

Is the student on the SEND register at their current school? *

Please provide details of any SEND needs identified above. *

For example: communication and interaction; cognition and learning; social, emotional and mental health; and/or sensory or physical needs.

Is the student in the process of receiving a SEND diagnosis? *

Please provide details of any SEND needs identified above. (copy) *

For example: communication and interaction; cognition and learning; social, emotional and mental health; and/or sensory or physical needs.

Does the student have a sibling already at Bournemouth School? *

Name of sibling *

Please identify the sibling's house *

Does the student wish to be in the same house as their sibling? *

Please note that, whilst we cannot guarantee house allocation, we will do our best to honour this request.

Please provide details and evidence of your GCSE results below.

GCSE English Language grade *

GCSE English Literature grade *

GCSE Mathematics grade *

GCSE Science studied

Combined Science
Separate Sciences

GCSE Combined Science grade *

GCSE Biology grade *

GCSE Chemistry grade *

GCSE Physics grade *

Other GCSEs studied

Art
Business Studies
Computing
Dance
Drama
French
Geography
German
Graphics
History
Music
Physical Education
Religious Studies
Spanish
Technology

GCSE Art grade *

GCSE Business Studies grade *

GCSE Computing grade *

GCSE Dance grade *

GCSE Drama grade *

GCSE French grade *

GCSE Geography grade *

GCSE German grade *

GCSE Graphics grade *

GCSE History grade *

GCSE Music grade *

GCSE Physical Education grade *

GCSE Religious Studies grade *

GCSE Spanish grade *

GCSE Technology grade *

Other qualifications

Subject

Grade

Upload evidence

Please upload evidence of the qualifications you have listed. This can be in the form of scanned or photographed versions of results, but each file must be legible and must visibly include your name.

Evidence of qualifications *

Click or drag files to this area to upload. You can upload up to 10 files.

Data Protection Act

Data protection legislation requires us to have a legal basis to collect and use personal data that we request. Details of the relevant privacy policy can be found on our website.

School Systems
We make use of a number of computer-based systems; we require your agreement to support your child in their time at Bournemouth School. We require your understand of and consent to the following.

Please enter your full name to confirm that you agree to the Data Protection Act statement above. *

I confirm that I have completed the admissions form accurately, to the best of my knowledge and ability. *