Diocese of Royal Borough of Windsor
Portsmouthand Maidenhead
St. Edmund Campion Catholic
Primary School
Altwood Road, Maidenhead SL6 4PX
Telephone 01628 620183
Web Site –
Supplementary Information Form for Pupils Entering in 2018/2019
Child’s Name...... DOB...... …………………………
Address......
...... Post Code ......
Contact Telephone Number/E-Mail Address......
Please note the date for submission of the Supplementary Information Form (SIF) to the school office, at the above address,is 15th January 2018. Notification of the result of the application being made by the local authority on behalf of the governing body will be on the 16th April 2018.
Please tick the relevant admission criteria
Should there be more applications than places available (60), the governors of the school will admit in the following category order:
Categories / Tick relevantbox
1. / Baptised Catholic children who are registered as being in the care of a local authority or provided with accommodation by a local authority in accordance with Section 22 of the Children Act 1989(a), e.g. fostered or living in a children’s home, at the time an application for a school is made; and
Baptised Catholic children who have previously been in the care of a local authority or provided with accommodation by a local authority in accordance with Section 22 of the Children Act 1989(a) and who have left that care through adoption, a child arrangements order (in accordance with Section 8 of the Children Act 1989 and as amended by the Children and Families Act 2014) or special guardianship order (in accordance with Section 14A of the Children Act 1989).
2. / Baptised Catholic siblings of children who will still be attending St. Edmund Campion School at the time of admission.
3. / Baptised Catholic children of parents who have a supplementary Information Form signed by a parish priest confirming their weekly attendance at Sunday (or Saturday evening) Mass, in the last calendar year, at the point at which it is submitted. See Appendix
4. / Baptised Catholic children of parents who have a supplementary Information Form signed by a parish priest confirming their attendance at Sunday (or Saturday evening) Mass at least monthly in the last calendar year, at the point at which it is submitted. See Appendix
5. / Baptised Catholic children of parents who have a supplementary Information Form signed by a parish priest confirming their attendance at Sunday (or Saturday evening) Mass less than monthly in the last calendar year, at the point at which it is submitted. See Appendix
6. / All other Baptised Catholic children.
7. / Children who are registered as being in the care of a local authority or provided with accommodation by a local authority in accordance with Section 22 of the Children Act 1989(a), e.g. fostered or living in a children’s home, at the time an application for a school is made; and
Children who have previously been in the care of a local authority or provided with accommodation by a local authority in accordance with Section 22 of the Children Act 1989(a) and who have left that care through adoption, a child arrangements order (in accordance with Section 8 of the Children Act 1989 and as amended by the Children and Families Act 2014) or special guardianship order (in accordance with Section 14A of the Children Act 1989).
8. / Non-Catholic siblings of children who will still be attending St. Edmund Campion School at the time of admission.
9 / Children of families who are members of other Christian denominations. “Children of other Christian denominations” means: children who belong to other churches and ecclesial communities which, acknowledging God’s revelation in Christ, confess the Lord Jesus Christ as God and Saviour according to the Scriptures, and, in obedience to God’s will and in the power of the Holy Spirit commit themselves: to seek a deepening of their communion with Christ and with one another in the Church, which is his body; and to fulfil their mission to proclaim the Gospel by common witness and service in the world to the glory of the one God, Father, Son and Holy Spirit. An ecclesial community which on principle has no credal statements in its tradition, is included if it manifests faith in Christ as witnessed to in the Scriptures and is committed to working in the spirit of the above.
10 / Other children.
APPENDIX
Catholic parents / carers to complete this sectionTick only one box
I / we attend Sunday Mass weekly.
I / we attend Sunday Mass at least monthly.
I / we attend Sunday Mass less than monthly.
Signature: Date:
To be completed by a parish priest only
I confirm the above statement.
This child is a baptised Catholic / has been received into the Catholic Church. Parish stamp or seal
Priest’s Name: ______
Parish:______
Address: ______
Signature: Date:
Documentation Required in Support of Application
Previously looked After Child:We request a copy of the adoption order, child arrangement order or special guardianship order and a letter from the local authority that last looked after the child confirming that he or she was looked after immediately prior to that order being made.
Category 1, 2 & 6: Baptismal Certificate of child or a letter/certificate from the parish priest confirming that the child has been received into the Catholic Church.
Categories 3, 4 & 5: Child’s Baptismal Certificate or a letter from the parish priest confirming that the child has been received into the Catholic Church and signature of parish priest on this Supplementary Information Form confirming Mass practice.
Category 9: Baptism Certificate or letter from church leader.
Please note that the parish priest of St Edmund Campion parish requires a mass card to be stamped to show attendance, This does not form part of the school's allocation process. Other priests from other parishes may not require this.
Signature of Parent...... Date......