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					     ‘The Next Step’ – to a High School or Academy in Luton
        Change of Preference/Late Application Form
         THIS FORM SHOULD ONLY BE COMPLETED IF THE PUPIL LIVES IN LUTON


     To the Parents/Carers of:




                                                             CATCHMENT AREA SCHOOL:




Application forms received after 7 November 2008 will be classed as late and will be
processed as soon after March 2009 as possible. Late applications will only be allocated
places once the applications received prior to 7 November 2008 have been processed.

Please thoroughly read through ‘The Next Step’ – to a High School or Academy in Luton
booklet before completing this application form. The booklet contains important
information on the transfer process and it is essential that you follow the procedures
detailed in the booklet.

If you specify Cardinal Newman Catholic School as a preference you will also need to complete the
blue supplementary form included in the pack and enclose a copy of your child’s baptismal
certificate.

Please use this application form to apply for a place at a Luton academy or a Luton high school
(including Cardinal Newman Catholic School) and schools/academies outside of the Borough.

If your child attends a school in Luton, this form must be returned to your child’s
junior/primary school. If your child attends a school outside of Luton, or a school that is not
maintained by Luton Borough Council, please return this form directly to the Admissions
Team.


                                                                       (Please see overleaf)

FOR ADMISSIONS USE ONLY: PLEASE DO NOT WRITE IN THIS BOX

1ST PREFERENCE DISTANCE:         2ND PREFERENCE DISTANCE:       3RD PREFERENCE DISTANCE:
If you have recently moved address within Luton or have moved into Luton, you must show the
following original documentation to a member of staff at your child’s current school if this is in Luton,
or to a member of the Admissions Team at Unity House. If your child attends a school outside of
Luton or a school that is not maintained by Luton Borough Council the following documentation
must be shown to the Council’s Admissions Team:

    Your most recent child benefit annual statement which shows your address;

    A recent council tax bill or gas bill or electricity bill or water bill. Please note, the
     Admissions Team do not accept telephone bills, credit card or bank statements as
     proof of address.

    In addition, if your child attends a school outside of Luton or a school that is not maintained
     by Luton Borough Council, the Admissions Team will need to see your child’s birth
     certificate.


The Admissions Team will be operating drop-in sessions where parents/carers will be able to bring
in the original documents to be photocopied. The sessions are as follows:

                               Tuesdays & Thursdays 2pm – 4pm
                              Wednesdays & Fridays 10am – 12noon

Help in completing this form is available from the Admissions Helpline on 01582 548016, Monday to
                                   Friday between 10am and 4pm.
 ‘The Next Step’ – to a High School or Academy in Luton
       Change of Preference/Late Application Form
                                    Child’s Details (please amend if incorrect or incomplete)


           First Name(s):


           Last Name:


           Date of Birth:


           Gender:                              Male                       Female
  If your address has changed or has not been pre-printed on the form, you must provide your child’s
  current school (if this is in Luton) or the Council (if your child attends a school outside of Luton or a
  school that is not maintained by Luton Borough Council) with proof of address and proof of date of
  birth. If you do not provide the relevant documentation to verify your address, your application will not
  be processed, if your preferred schools/academies are oversubscribed. Please see ‘The Next Step’ – to
  a High School or Academy in Luton booklet for further details.


                  Address:

                                                                     Postcode:


Name of school presently attending:

                           Parent/Carer Details (please amend if incorrect or incomplete)

Name of Mother:

Home Tel No:

Work Tel No:

Mobile Tel No:

Email address:

Name of Father:

Telephone Nos:
(if different)
      ‘The Next Step’ – to a High School or Academy in Luton
               Change of Preference/Late Application Form
       First Preference School/Academy


     Name of School/Academy:
     If you are stating a school outside of Luton
     as a first preference, please give the school’s
     full name and address, including postcode.




     If your child has a sibling(s) who is attending your first preference school/academy please
     specify the sibling(s) first name, last name, date of birth, gender and address:
       For Challney High School for Boys this criterion will apply to brothers of pupils attending either Challney High School for Boys or Challney
       High School for Girls. For Challney High School for Girls this criterion will apply to sisters of pupils attending either Challney High School
       or Girls or Challney High School for Boys.

                                     SIBLING 1                                  SIBLING 2                                  SIBLING 3

FIRST NAME(S):

LAST NAME:

DATE OF BIRTH:

GENDER:

ADDRESS:

       Second Preference School/Academy

     Name of School/Academy:
     If you are stating a school outside of Luton
     as a second preference, please give the school’s
     full name and address, including postcode.



     If your child has a sibling(s) who is attending your second preference school/academy
     please specify the sibling(s) first name, last name, date of birth, gender and address:
          For Challney High School for Boys this criterion will apply to brothers of pupils attending either Challney High School for Boys or Challney
          High School for Girls. For Challney High School for Girls this criterion will apply to sisters of pupils attending either Challney High School
          or Girls or Challney High School for Boys.

                                     SIBLING 1                                  SIBLING 2                                  SIBLING 3
FIRST NAME(S):

LAST NAME:

DATE OF BIRTH:

GENDER:

ADDRESS:
      ‘The Next Step’ – to a High School or Academy in Luton
              Change of Preference/Late Application Form
     Third Preference School/Academy

     Name of School/Academy:
     If you are stating a school outside of Luton
     as a third preference, please give the school’s
     full name and address, including postcode.




     If your child has a sibling(s) who is attending your third preference school/academy please
     specify the sibling(s) first name, last name, date of birth, gender and address:
       For Challney High School for Boys this criterion will apply to brothers of pupils attending either Challney High School for Boys or Challney
       High School for Girls. For Challney High School for Girls this criterion will apply to sisters of pupils attending either Challney High School
       or Girls or Challney High School for Boys.


                                     SIBLING 1                                  SIBLING 2                                 SIBLING 3
FIRST NAME(S):

LAST NAME:

DATE OF BIRTH:

GENDER:

ADDRESS:



       Additional information – Reasons for preference(s) e.g. religious convictions, medical,
       social reasons. (Please continue on a separate sheet if required.)
‘The Next Step’ – to a High School or Academy in Luton
   Change of Preference/Late Application Form

          Special Educational Needs

          My child has a current Statement of Special Educational Needs
          and I have made my preference known at Review.

            Yes                         No


          Medical

         Are you enclosing a medical certificate for your child?

            Yes                         No




          Children in Care

         Is your child ‘looked after’ by a Local Authority?

            Yes                         No

         If yes, please state which local authority is responsible for the pupil:



         Please also provide a letter from the social worker confirming the legal
         status of the child and the local authority with whom the child is in care.

         Name and telephone number of social worker:
     ‘The Next Step’ – to a High School or Academy in Luton
            Change of Preference/Late Application Form
Checklist:
    I have read and understood ‘The Next Step’ – to a High School or Academy in Luton admissions
      booklet for parents.
    I have stated a first, second and third preference.
    If I have specified Cardinal Newman Catholic School as a preference, I have completed the blue
      supplementary form and enclosed a copy of my child’s baptismal certificate.
    If I have specified a school outside of Luton as a preference, I have given the school’s full name
      and address, including postcode.
    I have amended my address details on the form if they are incorrect. Where my address has
      changed I have supplied my child’s current school (if this is in Luton) or the Council (if my child
      attends a school outside of Luton or a school that is not maintained by Luton Borough Council)
      with the documentation specified in ‘The Next Step’ – to a High School or Academy in Luton
      booklet.
    I understand that if I do not provide the relevant documentation to verify my address, my
      application will not be processed, if my preferred schools/academies are oversubscribed.
    I have attached a medical certificate (only for those parents seeking admission for their child on
      medical grounds).
    I have provided dates or names in the places where they are requested on the form.
    I have checked to make sure that all the information I have given is correct.
    I have signed and dated the form.



            PLEASE ENSURE THE FORM IS SIGNED BEFORE RETURNING
 I certify that all the information I have given on this application form is correct. I understand that any
 false or deliberately misleading information given on this form and/or supporting information may
 render this application invalid, or lead to the offer of a place being withdrawn.

   Name of Applicant:
   eg mother, father, guardian’s name
   Mr / Mrs / Miss / Ms (delete as appropriate)



   Applicant’s relationship to Pupil:


                                                                            Yes               No
   Do you have parental responsibility for the pupil?

   Signature of person with                                             Print
   parental responsibility:                                             Name:

   Date:

    If your child attends a school in Luton, this form must be returned to your child’s junior/primary
                                                   school.

        If your child attends a school outside of Luton or a school that is not maintained by Luton
                 Borough Council, please return this form directly to the Admissions Team.
        ‘The Next Step’ – to a High School or Academy in Luton
             Change of Preference/Late Application Form


        FOR ADMISSIONS / SCHOOL USE ONLY


        Birth Certificate:

                                            Signature   Designation

        Utility Bill:
         (Council Tax/Gas/Electric/Water)

                                            Signature   Designation

        Child Benefit Annual
         Statement:
                                            Signature   Designation

        Baptismal Certificate:

                                            Signature   Designation

Date:


    FOR ADMISSIONS TEAM USE ONLY

Entered by:

Checked by:

				
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