Application Form

Document Sample
Application Form Powered By Docstoc
					Application No.

Roll No.

Year

Application Form
PLEASE COMPLETE IN BLOCK CAPITALS USING A PEN. THERE IS A £10 FEE FOR EACH APPLICATION AND TESTING. 1. Child’s Personal Details Surname Address of Residence

First Name(s)

Post Code Date of Birth British Passport Holder (YES/NO)? 2. Details of Parents Mother’s Surname Address of Residence

Tel. of Residence

Mother’s First Name(s)

Post Code Occupation Father’s Surname Address of Residence

Tel. of Residence Mobile No. British Passport Holder (YES/NO)? Father’s First Name(s)

Post Code Occupation

Tel. of Residence Mobile No. British Passport Holder (YES/NO)?

3 Details of person(s) who are legal Guardian (in the event the child does not stay with his parents) Surname First Name(s) Address of Residence

Post Code Occupation

Tel. of Residence Mobile No. British Passport Holder (YES/NO)?

4. Programme of Study Which school year/form are you currently in? Year ……………………. Which school form/year are you applying for? Year 7

□

Year 8

□

Year 9

□

Year 10

□

Year 11

□

5. Islamic Educational Details Name of most recent institute/madrasah Address

Post Code The dates you attended this institute/madrasah? FROM: TO:

Tel.

Why have you left this institute/madrasah (if not attending currently)?

Has the applicant completed Nazirah (recital) of the Qur’an? Has the applicant memorised any part of the Qur’an? If Yes, which Surah’s? Has the applicant taken any lessons in Tajweed? Has the applicant studied Urdu? Or Arabic? If Yes, please give brief details.

Yes Yes

□ □ □

No No

□ □ □

Yes Yes

No No

□ Yes □

□ No □

Confirmation of the above details will be required if called for interview. 6. Other Educational Details Name of most recent school Address

Post Code Attended from (date): ......../……../…….. If NO please state date and reason for leaving?

Tel. Is the applicant still attending this school? Yes

□

No

□

7. Other Details Has the applicant ever been involved with the police? If YES, please give details. Yes

□

No

□

Has the applicant ever been involved with the Social Services/Probation? Yes If YES, please give details.

□

No

□

Does the applicant suffer from serious or long term illnesses? Asthma

□ Eczema □ Other □ (please state)

Migraine

□

Bronchitis

□

Diabetes

□

Epilepsy

□

Does the applicant take regular medication? If YES, please give details. Does the applicant suffer from any allergies? If YES, please give details.

Yes

□ □

No

□ □

Yes

No

If the applicant has any special educational needs or is registered as STATEMENTED please provide details.

Are there any adverse behavioural issues that has come to light during his current or previous schools? Please provide full details if so such as suspension, exclusion etc.

RULES AND REGULATIONS PLEASE READ CAREFULLY BEFORE SIGNING THE DECLARATION OVERLEAF 1. 2. 3. 4. 5. 6. 7. 8. All applicants are required to sit and successfully complete the admission test and attend an interview. Please pay £10 per application form submitted to cover processing, testing and interview costs. Places are offered initially on an up to two months trial basis. Disclosure of all previous character and conduct references are necessary and you agree to the school making enquiries to verify that all the information you have provided is correct. The applicant must attend all lessons/study sessions except when excused by the principal. All Islamic laws must be adhered to, particularly prayers, dress and social affairs. Permission is to be obtained from the principal prior to any additional leave. To insult/abuse a trustee, teacher or any member of staff of the school is inexcusable. Such behaviour will result in dismissal of the guilty pupil. The pupil may also be expelled if the parents/guardian/family members of the pupil insults the above. Lantern of Knowledge Secondary School reserves the right to dismiss any pupil when deemed necessary, without right of appeal. Anyone dismissed from Lantern of Knowledge Secondary School will have no legal remedy against Lantern of Knowledge Secondary School. Pupils expelled will be held responsible for any disruption and not the school. Lantern of Knowledge Secondary School will not be held responsible for any injuries etc. caused or received during the above named applicant’s attendance at, to and from Lantern of Knowledge Secondary School and all its buildings and premises, and you waive any claims against Lantern of Knowledge Secondary School. The parent/guardian/applicant (if appropriate) will be held responsible for any damage caused by the above named applicant to any property, buildings and premises. You agree to pay all fees fully and on time. Once the pupil attends a new term a minimum of one terms fees must

9.

10. 11.

12. 13.

be paid even if the pupil leaves. 14. The school may add, delete or alter any rule/regulation without notice. 15. All the above rules and regulations and any further rules/regulations in application at the time will have to be followed. PLEASE CAREFULLY READ THE SCHOOL’S PROSPECTUS ALSO. APPLICATIONS CANNOT BE PROCESSED UNTIL ALL DETAILS ARE COMPLETE.

DECLARATION I DECLARE THAT THE INFORMATION I HAVE GIVEN ON THIS FORM ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I ACCEPT AND AGREE TO ABIDE BY THE RULES AND REGUALTIONS OF LANTERN OF KNOWLEDGE SECONDARY SCHOOL. I UNDERSTAND THAT ANY MISLEADING INFORMATION I HAVE GIVEN VERBALLY OR IN WRITING WILL RESULT IN THE APPLICANT BEING DENIDE A PLACE AT THE SCHOOL OR IF ATTENDING WILL BE SUBSEQUENTLY EXPELLED.

SIGNED APPLICANT………………………………………………………… DATE ……………………………………….

SIGNED PARENT/GUARDIAN……………………………………………….. DATE ………………………………………. NAME OF PARENT/GUARDIAN……………………………………….. If you are called for an interview you will be asked to bring in the following ORIGINAL documents: Birth certificate or Passport Most recent Madrasah and School Report
PLEASE SEND YOUR COMPLETED APPLICATION FORM TO:
THE ADMISSIONS OFFICE, LANTERN OF KNOWLEDGE SECONDARY SCHOOL, 30-36 LINDLEY ROAD, LEYTON, LONDON E10 6QT

TEL. 020 8539 5183 WWW.JAMIA.CO.UK

SCHOOL FEE INFORMATION CORRECT AS OF 1st SEPTEMBER 2008 (subject to change without notice) • An Admission Fee of £350 is payable if an applicant is offered a place at the school. A yearly fee of £2,400 is payable as a single payment or on an instalment basis if preferred.

•


				
DOCUMENT INFO
Shared By:
Stats:
views:169
posted:1/26/2010
language:English
pages:4
Description: Application Form