BRIGHT FUTURES EDUCATIONAL TRUST
ALTRINCHAM
GIRLS
GRAMMAR
SCHOOL
CONNELL 6TH
FORM
COLLEGE
MELLAND HIGH
SCHOOL
BRIGHT
FUTURES
EDUCATIONAL
TRUST
GORTON
MOUNT
PRIMARY
ACADEMY
CEDAR MOUNT
ACADEMY
STANLEY
GROVE
PRIMARY
ACADEMY
BRIGHT FUTURES EDUCATIONAL TRUST
Admission Form
Child Details
Childs Name ______________________________________________
Gender: Male/ Female
Preferred Name__________________________ Any other name used_____________________
Date of Birth ________________________Age __________ (Birth Certificate/Passport seen Y/N)
Religion/Faith ___________________ Language spoken at home _______________
Home Language ________________Ethnicity ___________________
Date arrived in the UK __________________________ Country of Birth________________________
Current Address ____________________________________________________________________
Previous School _____________________________________________________________________
Previous Addresses
Other Children in the family
Name:______________________ (Brother/Sister) School Name:________________ DOB:________
Name:______________________ (Brother/Sister) School Name:________________ DOB:________
Name:______________________ (Brother/Sister) School Name:________________ DOB:________
Parents/Carers Details
First name ___________________________ Last name ____________________________________
Any other name you are known by _____________________________________________________
Relationship to child ___________________ Tel/Mobile ____________________________________
Address (If different from child) ________________________________________________________
Country of Origin ______________________ Home Language _______________________________
First Name _____________________________Last name ____________________________________
Relationship to child ___________________ Tel/Mobile _____________________________________
Address (If different from child) _________________________________________________________
Country of Origin ______________________ Home Language _______________________________
Asylum Seekers Y/N
Have you appealed Y/N
Refugee Y/N
Student Y/N
If yes how many times ________ Name of Solicitor _________________
(Home Office Documents seen Y/N)
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What will your child be eating in school?
Free School Meal (Proof of benefits required)
Paid Meal (payable on a Monday in advance)
Pack Lunch from Home
Yes /No
Yes/ No
Yes/ No
Dietery requirements
Halal: Yes/No Vegetarian: Yes/No Food Allergies: Yes/No (if yes please state)
_____________________
(Is your child entitled to free school meals? Are you on benefits? Have you made an application?
For further information regarding the above please see the office.)
Emergency Contacts (other than the parents/carers)
Name ______________________________Tel/Mobile _____________________________________
Relationship to family/Child ___________________________________________________________
Address ___________________________________________________________________________
Name ______________________________Tel/Mobile _____________________________________
Relationship to family/Child ___________________________________________________________
Address ___________________________________________________________________________
Medical Details
GP:_____________________________________________Tel:_______________________________
Address: __________________________________________________________________________
Postcode:__________________________________________________________________________
Does your child have any Allergies or Medical Conditions? __________________________________
__________________________________________________________________________________
Special Needs
Is your child on a Special Needs Register?
Y/N
Is your child looked after by the Local Educational Authority? Y/N
Has your child ever been excluded from School?
Y/N
SA/SA +/Statement
(If you have answered YES to any of the above please arrange with the office to speak to a member of our
leadership team who can collect this information from you).
Are there any agencies working with the family i.e. Social Services, Health, Family Interventions
Parental Consent
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We need your written permission for children to go out of school on visits; occasionally we take
photos of the children during these activities. Please tick the relevant boxes and sign below if we
can include your child/ren in any future trips/photos, school website, school prospectus etc (Looked
Copy right permission
Internet access
Photograph Student
Sex Education
Data Exchange
School visits
Sign __________________________________ Parents / Carers
Date ____________________
School prefers someone over the age of 16 for Nursery children and 14 for Primary children to bring
children to and from school as this is safer for your child.
Please sign below to say you agree to this condition
Sign __________________________________ Parents / Carers
Date_____________________
Any other additional information to support your application i.e. past pupil, family connection with
school
Office use only:
Date Processed: _________________________
Proof of DOB: Yes/No
Free School Meals letter: Yes/No
Admitted Yes/No If no reason: __________________________
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Home School Agreement
Child’s name: _________________________________________________
School will
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Encourage your child to work hard and do their best at all times
Inform you of your child’s progress at regular meetings
Promote respectful behaviour towards others
Persuade your children to take care of their classrooms, their school and their
playgrounds
Keep effective records of your child’s progress
Provide effective teaching for your child
Head teacher’s signature: _______________________________Carol Powell
Home will
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Make sure that your child arrives at school on time
Make sure that your child attends every day
Inform school of any absences immediately on the first morning of those
absences
Take your holidays in school holidays
Attend meetings to discuss your child’s progress
Support your child in homework and reading activities
Support the school rules and policies
Raise any problems with school in person and NOT through any social media
such as facebook
Parent/Carer signature
_______________________________ Name: _____________________________
School rules
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Listen carefully and follow instructions
Always do your best
Treat others how you would like to be treated
Be patient and considerate
Look after your school
Please return this copy to school
BRIGHT FUTURES EDUCATIONAL TRUST
EQUAL OPPORTUNITIES MONITORING - MOTHER OF __________________________(Child’s
name)
The information in this section will be treated in the strictest confidence. The results will be used
to produce overall statistics about our pupil based and to identify and take action to prevent
discrimination.
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LANGUAGE___________________________________________________________
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Please state your home or first language i.e. the language you have spoken since birth.
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IS ENGLISH YOUR ADDITIONAL LANGUAGE _____________________________
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PLEASE STATE YOUR COUNTRY OF BIRTH ______________________________
Ethnic Origin
Please put a tick in one of these boxes, I would describe my ethnic origin as:-
Bangladeshi
Middle East
East African Asian
Other Black: please specify
Indian
Pakistan
White & Black Caribbean
Chinese
White & Black African
Vietnamese
White & Asian
Other Asian: please specify
Other Mixed Origin: please specify
Black British
Irish
Caribbean
White British
Somali
Other White: please specify
Other African
What is ethnic origin?
Ethnic origin refers to members of an ethnic group who share the same
Cultural identify. This does not mean country of birth or nationality.
BRIGHT FUTURES EDUCATIONAL TRUST
EQUAL OPPORTUNITIES MONITORING – FATHER OF __________________________ (Child’s
name)
The information in this section will be treated in the strictest confidence. The results
will be used to produce overall statistics about our pupil based and to identify and take
action to prevent discrimination.
LANGUAGE ________________________________________________________________ Please state your
home or first language i.e. the language you have spoken since birth.
IS ENGLISH YOUR ADDITIONAL LANGUAGE ___________________________________
PLEASE STATE YOUR COUNTRY OF BIRTH ____________________________________
Ethnic Origin
Please put a tick in one of these boxes, I would describe my ethnic origin as:-
Bangladeshi
Middle East
East African Asian
Other Black: please specify
Indian
Pakistan
White & Black Caribbean
Chinese
White & Black African
Vietnamese
White & Asian
Other Asian: please specify
Other Mixed Origin: please specify
Black British
Irish
Caribbean
White British
Somali
Other White: please specify
Other African
What is ethnic origin?
Ethnic origin refers to members of an ethnic group who share the same
Cultural identify. This does not mean country of birth or nationality.
BRIGHT FUTURES EDUCATIONAL TRUST
Privacy Notice - Data Protection Act 1998
We Gorton Mount Primary Academy are a data controller for the purposes of the
Data Protection Act. We collect information from you and may receive information
about you from your previous school and the Learning Records Service. We hold this
personal data and use it to:
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Support your teaching and learning;
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Monitor and report on your progress;
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Provide appropriate pastoral care, and
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Assess how well your school is doing.
This information includes your contact details, national curriculum assessment
results, attendance information1 and personal characteristics such as your ethnic
group, any special educational needs and relevant medical information. If you are
enrolling for post 14 qualifications we will be provided with your unique learner
number (ULN) by the Learning Records Service and may also obtain from them details
of any learning or qualifications you have undertaken.
In addition for Secondary and Middle deemed Secondary Schools
Once you are aged 13 or over, we are required by law to pass on certain information
to providers of youth support services in your area. This is the local authority support
service for young people aged 13 to 19 in England. We must provide both your and
your parent’s/s’ name(s) and address, and any further information relevant to the
support services’ role. However, if you are over 16, you (or your parent(s)) can ask
that no information beyond names, address and your date of birth be passed to the
support service. Please inform (Insert name of School Administrator) if you wish to
opt-out of this arrangement. For more information about young peoples’ services,
please go to the Directgov Young People page at
www.direct.gov.uk/en/YoungPeople/index.htm or the LA website shown above.
We will not give information about you to anyone outside the school without your
consent unless the law and our rules allow us to.
We are required by law to pass some information about you to the Local Authority
and the Department for Education (DfE)
(For Academy use only) We are required by law to pass some information about you
to the Department for Education (DfE) and, in turn, this will be available for the use(s)
of the Local Authority.
If you want to see a copy of the information about you that we hold and/or share,
please contact Mrs Diana Martin.
If you require more information about how the Local Authority (LA) and/or DfE store
and use your information, then please go to the following websites:
1
Attendance information is not collected as part of the Censuses for the Department for
Education for the following pupils / children - those aged under 4 years in Maintained schools
and those in Alternative Provision and Early Years Settings. This footnote can be removed
where Local Authorities collect such attendance information for their own specific purposes.
BRIGHT FUTURES EDUCATIONAL TRUST
http://www.trafford.gov.uk/councilanddemocracy/dataprotection/
and
http://www.education.gov.uk/researchandstatistics/datatdatam/b00212337/dataus
e
If you are unable to access these websites we can send you a copy of this
information. Please contact the LA or DfE as follows:
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Corporate Information Officer
Trafford Council
Floor 6 Quay West
Trafford Wharf Road
Email: data.protection@trafford.gov.uk
Trafford Park
Telephone: 0161 912 1324
M17 1HH
Fax: 0161 912 4294
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Public Communications Unit
Department for Education
Sanctuary Buildings
Great Smith Street
London
SW1P 3BT
Website:
www.education.gov.uk
email:
http://www.education.gov.uk/help/contactus
Telephone:
0370 000 2288
BRIGHT FUTURES EDUCATIONAL TRUST