SUPPLEMENTARY INFORMATION FORM (SIF)
PRIMARY TO SECONDARY ENTRY: SEPTEMBER 2018
BLOCK CAPITALS PLEASE
Child’s Surname ......
First Name(s)......
Date of Birth...... / ...... / ...... Gender ......
Address......
......
...... Post Code ......
Home Tel No ......
Email address ……………………………………………………………………………………...……….
Full Name of Father or Carer ......
Please tick if living at the above address ...... …
Full Name of Mother or Carer(Mrs/Miss/Ms) ......
Please tick if living at the above address ...... …
Father’s Work / Mobile Nos……………...... ……
Mother’s Work / Mobile Nos………………...... ….
Name and address of present school ......
...... ……………………………….....……………….….
Telephone no....... …………Date started at this school ………..……….
ADMISSION PROCEDURE – Please refer to the Admission Procedure Form enclosed.
Please all that apply:
1. Looked After Child (child in public care)please provide supporting documents
2. Sibling now go to Section A overleaf
3. Medical Reason now go to Section B overleaf
4. Academic Abilitynow go to Section C overleaf
5. Child of Staff at the Schoolnow go to Section D overleaf
6. Distance from School
PTO
- 2 -
A. SIBLING
BROTHERS or SISTERS currently attending Shirley High School.
Name...... Tutor Group………
Name...... Tutor Group......
B. MEDICAL REASON
If you are seeking entry to the school for your child on medical grounds, please state
the reason. A letter from a registered medical consultant explaining the condition,
supporting the reasons for the application and establishing the need for a place at
ShirleyHigh School, must also be enclosed with the form.
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
C. ACADEMIC ABILITY
I wish my child to take the entrance examination on Saturday 4 November 2017
- I am aware that if I tick ‘yes’ I should return this form to the school by Monday 16 October 2017.
- I understand that there is only one opportunity for my child to sit this test.
(Please tick one box only) YES NO
Please note: Not applicable if you are applying under the family connection criteria.
D.CHILD OF STAFF AT THE SCHOOL
Member of staff has been employed at the school for two or more years at the time at which
the application for admission to the school is made, and/or the member of staff is recruited
to fill a vacant post for which there is a demonstrable skill shortage.
Name of Staff Member ……………………………………………………………………………………..
Please be aware that to ensure your application is processed correctly, you
also complete the Croydon Council Common Application Form (CAF) please tick
I confirm that the information that I have provided in support of this application is complete and true
and understand that knowingly to make a false statement for this purpose will render my application inadmissible.
Signature of Parent / Carer ...... Date ......
(Please print parent/carer name): …………………………………………………………………………
When completed, this form should be returned to Admissions, ShirleyHighSchoolPerformingArtsCollege, at the address overleaf.
If, at any time, there is any change to this information, please notify the school and council immediately.