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Haverstock In-Year Admission Application

Please complete the form below to apply for a In-Year addmission place at Haverstock School. If you have any questions, please contact the school office at admissions@haverstock.camden.sch.uk.

If your child has an Education Health and Care Plan (EHCP) you do not need to complete this form. Please contact the SEN team of the local authority that maintains the EHCP and they will contact us formally to carry out a consultation.

IMPORTANT. Before returning this form, check that you have:

 Filled out Sections 1 to 6

Signed the form - Section 7

Enclosed the following (original) documents:

1. Proof of address

A most recent Council Tax bill, Housing Benefit letter, Tenancy agreement or a mortgage/rental statement.

2. Proof that you are currently the resident at this address

A utility bill such as gas or electricity. This must be dated within the last 3 months.

3. Proof of your child’s date of birth

A passport, birth certificate or their NHS medical card.

Do you need help completing this form?

Contact Haverstock school reception on 020 7267 0975
Telephone the Camden Admissions Helpline on 020 7974 1625. The admissions team can advise you about which other schools in Camden have vacancies.

IMPORTANT - Before submitting this form, ensure you have uploaded the following:

Proof of address A most recent Council Tax bill, Housing Benefit letter, Tenancy agreement or a mortgage/rental statement, A utility bill such as gas or electricity. This must be dated within the last 3 months.
Proof of your child’s date of birth A passport, birth certificate or their NHS medical card.

We can only accept applications from a person who is legally responsible for the child

Section 1 - Information about your child

Current Year Group *

Legal Forename: *

Middle Names:

Legal Surname: *

Date of Birth: *

Students Current Address *

Students Post Code *

Gender: *

Female

Male

Ethnicity *

Religion: *

First Language: *

Bilingual Status; *

Not bilingual (Does not speak English)

Beginner

Bilingual

N/A

Refugee status:

Yes - accompanied by parent/carer

Yes - not accompanied by parent/carer

Date of entry to UK

Is there a sibling attending Haverstock School? *

Yes

If Yes, List Sibling:

SIbling Full Name	Sibling Registration Group

Please upload Proof of your child’s date of birth; A passport, birth certificate or their NHS medical card. *

List of Allowed file types

Please upload Proof of address; A most recent Utility bill, Council Tax bill, Housing Benefit letter, Tenancy agreement or a mortgage/rental statement. *

List of Allowed file types

I wish to be considered under the social/medical criteria, this is applicable for Camden community schools

If so, you should submit supporting evidence which sets out the particular reasons why the school is the most suitable, and the difficulties that could be caused if they were to attend another school. This will normally be in the form of a letter from a suitably qualified professional, such as a doctor or social worker for example. Please note hospital appointment letters cannot be accepted as proof. If you or your child has mobility issues then you will be expected to accept a place at your nearest community school.

Does your child have a n education and Health Care Plan (EHCP)? *

Yes

If your child has an EHCP, please do not complete the rest of this form and apply to your home borough’s SEND Department.

Name of current or previous school (or write ‘none’):

Local Authority of current school

Name of your current Year Head/Class Teacher:

School Contact Emai Address:

Is your child still attending?

Yes

If no, date of last school attendance:

Has the student studied any of the following languages? *

French

Spanish

German

If applying to Year 10 or Year 11, What Curruculum option are you Studying?

	GCSE/Curriculum Option
Subject 1
Subject 2
Subject 3
Subject 4

Section 2 Information about Parent/Carer

Please give details of all persons who have parental responsibility

Parental Contact 1:

Contact 1 - Do you have parental responsibility for the child? *

Yes

Is your child fostered through a private arrangement? *

Yes

** You have a duty to inform the local authority if the child is fostered through a private arrangement with the child’s birth family. Private fostering refers to carers who are NOT step-parents, grandparents, siblings, aunts or uncles and who do NOT have parental responsibility.

Are you a Crown Servant applying for a school place as a result of a posting? *

Yes

You will need to provide an official MOD, FCO or GCHQ letter declaring your relocation date and address to the school.

Is an interpreter required for a school meeting? *

Yes

If ‘Yes’ which language? *

Contact 1 - Title: *

Contact 1 - Parent/Carers Forname *

Contact 1 - Parent/Carers Surname: *

Contact 1 - Is home address the same as yours? *

Yes

No, please enter address in the field below

Contact 1 - Full Address:

Contact 1 - Postcode:

Contact 1 - Mobile Number: *

Contact 1 - Email Address: *

Contact 1 - Relationship to Student: *

Parental Contact 2

Contact 2 - Do you have parental responsibility for the child? *

Yes

Contact 2 - Title *

Contact 2 - Parent/Carers Forname *

Contact 2 - Parent/Carers Surname *

Contact 2 - Is home address the same as yours? *

Yes

No, please enter address in the field below

Contact 2 - Home Address (if different to yours) *

Post Code *

Contact 2 - Mobile Number:

Contact 2 - Email Address: *

Section 3 - Why are you applying?

Look after child (those who are in the care of a local authority, or are being provided with accommodation by a local authority in the exercise of their social service functions).
Previously looked after child (those who immediately after being in care became subject to an adoption order, child arrangements order or special guardianship order. They are also those who have been adopted internationally).

If ‘Yes’ Which local authority is/was involved with the family?

Please provide the names and contact details of any social workers or other professionals associated with your child:

My child does not currently have a place in any school
Please explain why and how long your child has been out of school on Section 6
A change of address/move. Please make sure you fill out the details in Section 1.
So my child can join their brother/sister (siblings). Please give details in Section 1.
If you are applying for more than one child, please let us know.
My child was removed from school roll. Please give the reasons on Section 6.
Issues in current school. Please fill out Section 5 with details about transfers between schools.
Other reason. Please make a note of the details on Section 6.

Other circumstances this information may help us to set in place the appropriate support for your child.

In addition, Every Local Authority must have a Fair Access Protocol to ensure that children without a school place are found a suitable school quickly. To help us with this, please tick any box relevant to your child and provide further information in Section 6.

Does your child have special education needs (but not an EHCP)? *

Yes

Is your child a young carer? *

Yes

Has your child been subject to a CIN or CP Plan within the last 12 months? *

Yes

Is your child living in a refuge/asylum seeker or in other ’relevant accommodation’? *

Yes

Is your family homeless? *

Yes

Is your child from a Gypsy, Roma, Traveller background? *

Yes

Is your child aged between 14 and 16 and English is not your child’s first language? please give the first language below in Section 6 *

Yes

Has your child been out of formal education for more than four or more weeks *

Yes

Is your child being educated at home? *

Yes

Has your child been refused a school place on the grounds of their challenging behaviour (paragraph 3.10 School Admissions Code 2021) *

Yes

Has your child been permanently excluded or at risk of permanent exclusion? *

Yes

Has your child had a managed move to a secondary school? *

Yes

Has your child received multiple suspensions from current school? *

Yes

Has your child attended alternative provision designed to address behavioural issues? *

Yes

Is your child known to the criminal justice system *

Yes

If you answered yes to any question, please make sure you provide details and any relevant documents including what additional educational needs support your child has e.g. small group teaching, TLA support, reading interventions, CAMHS therapy in Section 6.

Contact 2 - Relationship to Student: *

Section 4 - Looked After Children/Previously Looked After

Are you a foster carer looking after a child who is in care? *

Yes

A parent whose adopted child was previously looked after but immediately after being looked after became subject to an adoption, residence or special guardianship order? *

Yes

If you answered yes to either 1 or 2, please also provide a letter from the social worker confirming the legal status of the child and the local authority with which the child is in care or was in care. Please note point 2 only applies if the child was previously looked after in England or Wales.

List of Allowed file types

Section 5 - Transfer requests between schools

If you are requesting a transfer from another local school, it is important for you to discuss this with the Head teacher or head of year of your child’s present school first. Please give your reason for requesting the transfer and ask the Head teacher or head of year email office@h3dereration.org.uk to confirm your transfer request *

Please list all additional schools attended

Name of school	Dates from	Date to	Reason for leaving

Section 6 - Any other information

Medical Practice: *

Medical Practice Address: *

Medical Practice Telephone Number (Number) *

Please summaries any medical conditions here: *

Are/Were you entitled to Free School Meals? *

Yes

Any other information *

I certify that the information I have given on this application form is correct.
I authorise the school or Camden Council to check the details with any relevant body.
I understand that any false or deliberately misleading information on this form and/or supporting information may make this application invalid and could lead to the offer of a place being withdrawn

Type your name and sign below

Clear Show me how

Your application will be processed within 20 school days from recieving all application, including all additonal information from previous school.

This application form is only for use for applications to Haverstock school. If you are interested in other Camden primary and secondary schools they are listed on Camden’s website: www.camden.gov.uk/schools Other boroughs will have information on their websites.

Fair Processing

Haverstock School and the London Borough of Camden will handle the information you have provided in line with the provisions of the Data Protection Act. Haverstock school may be required to pass on the information provided in this form to the London Borough of Camden.

Any personal information will be held in confidence with only the necessary people able to see or use it. Under the Data Protection Act you have the right to make a formal request in writing for access to personal data held about you or your child. Camden has a duty under the Children’s Act 2004 to work with partners to provide and improve services to children and young people in the area.

Camden may use this information for other legitimate purposes and may share this information where necessary with other bodies responsible for administering services to children and young people.

The council has a legal obligation to protect public funds. We may therefore check, share and validate information you have provided with other departments of the authority and use third party credit reference agencies (CRA) to verify this information and to prevent fraud. CRA data will only be used to verify and confirm your residency at the address you have provided. Please note that places offered on the basis of fraudulent or intentionally misleading information will be withdrawn. Your statutory right of appeal will not be affected.

If no school place is offered to your child and they are not currently in school please make a referral to Camden’s Child Missing Education Officer on 020 7974 4596

Approvals

A number of approval stages need to be completed before this submission can be accepted.

Application Recieved

Appropriate approvers from the Application Recieved group will be automatically allocated for this approval stage.