NORBURY MANOR BUSINESS AND ENTERPRISE COLLEGE SUPPLEMENTARY APPLICATION FORM TO REGISTER FOR FAIR BANDING TEST ADMISSION TO YEAR 7 IN SEPTEMBER 2016 To parents whose daughter was born on or between 1 September 2004 and 31 August 2005. You need to complete this form to register your daughter for the Fair Banding Test which all applicants are required to sit. The completed form should be returned to Norbury Manor Business & Enterprise College by Friday 16th October 2015 at latest in order for necessary checking to take place. However, forms will be accepted up to 31st October 2015. No offer of a place at this college will be made on the offer date unless you complete this form and it is received by the date above. You must also complete the Common Application Form from your Local Authority. Applications received after 31st October 2015 cannot be considered until after the offer date of 1st March 2016. Tests will be held on 11th November 2015. Every effort will be made to meet your wishes but, inevitably, if applications for this college exceed the number of places available, it will not be possible to admit all the children and, in this event, the published criteria for the order of admission will be applied. Please note that any false information given will result in an offer being withdrawn. Please complete in BLOCK CAPITALS and in black ink. Child’s Surname _________________________________ Date of Birth ___________________ First Names __________________________________________________________________________ Child’s Address _______________________________________________________________________ ____________________________________________ Post Code _____________________ Home Telephone No: _________________________________ Name and Address of Primary School ____________________________________________________ ________________________________________ Tel No: ______________________________ Details of person(s) with parental responsibility (for guidance concerning parental responsibility, please see Secondary Schools Brochure) 1.Title_____ Forename_________ Surname _______________ Relationship to child _______________ Telephone No(s): ____________________________ (Mobile) _____________________________ Email Address _____________________________________________ 2.Title_____ Forename _________ Surname ________________ Relationship to child _______________ Telephone No(s): ____________________________ (Mobile) _____________________________ Email Address _____________________________________________ Address (if different from daughter’s address) _______________________________________________ _______________________________________ Post Code _________________ Telephone No. (Home) _________________________ PLEASE TURN OVER AND COMPLETE BACK PAGE Support for Banding Test: Please note below any support your daughter may need to sit the Banding Test: Is the child named in the care of London Borough of Croydon or other appropriate authority, or does she qualify as a previously looked after child? Yes / No If “yes” please provide details, and attach supporting evidence as listed in the Admissions Criteria. If no supporting evidence is attached, your application will not be considered under this priority. Does the child named above have a medical condition which makes entry to Norbury Manor necessary? Yes / No If “yes” please provide details and attach information from your GP/Consultant. If no supporting evidence is attached, your application will not be considered under medical priority. Does the child named above have a sister at the college who will still be attending in Years 8-11 in September 2016? For definition of “sister” see admission criteria. Yes / No Full Name of sister __________________________________________ Does the child named above have a Statement of Special Education Needs? Yes / No *Please delete as applicable Please advise to which Council you pay your Council Tax _________________________________ Important: I understand that, if a place is offered, then I must accept that place in writing within 21 days of receipt of the offer. If, at any time there is a change to the information given on this form or you wish to withdraw your application, please notify Norbury Manor Business & Enterprise College immediately in writing. ETHOS STATEMENT: Everyone within NMBEC is valued as an individual and provided with opportunities for growth and development. It is essential that we maintain the highest possible standards of behaviour so that good teaching and learning can take place. NMBEC promotes the development of self-discipline, confidence, responsibility, consideration and good manners in preparation for the standards expected in adult life. This college is opposed to all forms of bullying and racial harassment and takes all such incidents extremely seriously. It is very important to work in partnership with parents to achieve high standards of behaviour and academic success. In applying for the College, I accept both the spirit and the letter of the ethos statement, and agree to support this ethos. Signature of Person with Parental Responsibility _______________________ Date _____________ NOTE: Should you require an acknowledgement of our application form, kindly provide a self-addressed stamped envelope for our use as we cannot accept responsibility for applications that are mislaid or delayed in the post.