Supplementary Information Form

Application for Admission for September 2019 Entry to Year 7

Please read the following information:

  • All applicants must complete the Supplementary Information Form (SIF) for entry into Year 7 for September 2019
  • All applicants,in order to gain entry into the school,are required to sit the compulsory Banding Testsin December
  • You are advised to make a copy of the SIF to retain for your information
  • The completed SIF must be returned to the school by Wednesday 31st October
  • Applicants must also; in all cases complete their Local Authorities Common Application Form (CAF)
  • Please provide all supporting documentation when returning your completed SIF
  • Future correspondence will be submitted by email; an email address must be provided in section 1
  • Failure to submit a SIF will result in an invalid application

Once completed please return this form with the required documents to:

By post: FAO Admissions By email:
Orchard Park High School

Orchard Way

Croydon

CR0 7NJ

Please complete all sections in full and in BLOCK CAPITALS
Section 1

Student details
Surname: / Forename:
Date of birth: / Gender:
Address:
Post code:
Current primary school:
Parent/Carer details
Relationship to child: e.g mother/father/carer
Title: / Forename:
Surname: / Mobile tel no:
Address: (if different from the student)
Post code:
Email:
Parent/Carer details
Relationship to child: e.g mother/father/carer
Title: / Forename:
Surname: / Mobile tel no:
Address: (if different from the student)
Post code:
Email:

Section 2

Admission Criteria - For more information please visit:

Where the academy is oversubscribed, the following criteria will be applied to determine those children that will be offered places within each band. Within each band the criteria will be applied in the following order:
Please tick the priority to which best suits your child’s application to the school.

Priority One: Looked After Children / Yes: No:
If yes, please enclose supporting documents e.g. letter from social worker
Priority Two: Exceptional medical or social reasons / Yes: No:
If yes, please enclose supporting evidence from a Doctor, Social Worker or Borough School Attendance Officer; to support your application in why this school is most suited to meet your child’s needs and to why no other local schools could meet those needs, and what the difficulties would be if they had to attend other schools.
Priority Three: Children of permanent staff / Yes: No:
Name of Staff:
The member of staff has been employed at the school for two or more consecutive years.
Priority Four: Distance from the School / Yes: No:
As calculated by straight line distance from the main gate, with the student living the closest being given priority.

Section 3

Banding Test

All applicants to the academy will be required to sit thecompulsory ability bandingtests: A Non-Verbal Reasoning Test (NVRT) and a VRT. The ability banding tests will take place in December; parents/carers will be notified by letter/email regarding details of the test in November.

What if my child has special needs or medical requirements that I think should be taken into account for the Selective Eligibility Test?

We ask you to provide details of any special needs or medical conditions your child may have. It is particularly important that you tell us if your child has any physical, medical, sensory, learning or behavioural issues or conditions or is suffering from a temporary injury that may substantially disadvantage him/her in the context of an examination. Letting us know will not disadvantage your child in any way.

Please note that supporting documentary evidence must be submitted if you wish us to consider putting a special arrangement in place for the tests. The required evidence must be submitted with this form.

Medical Information
Is there any medical information that we should be made aware of e.g. diabetes, epilepsy etc?
Special Requirements
Is there any information regarding special requirements that you would like the school to take into account? e.ghard of hearing, extra time for tests, special educational needs etc?
Declaration

I/We declare that the information given on this Supplementary Information Form is correct and have enclosed all relevant documentation.
(please tick)

Proof of residence –A copy of a utility bill (dated within the last 3 months)
Priority One – Looked after Children supporting evidence
Priority Two – Exceptional medical or social reason supporting evidence
Please note that supporting documents cannot be returned, so copies should be attached.

I/We agree to the processing of personal data contained in this application form and other relevant data which the Academy may obtain as part of the admissions procedure; in in accordance with the Data Protection Act 1998.
(please tick)

I/We have provided a current email address in Section 1

Completed Section 1

Completed Section 2

Completed Section 3
Signature of parent/carer:

Signature of parent/carer:

Date:

Once completed please return this form with the required documents to:

By Post: FAO Admissions By email:
Orchard Park High School

Orchard Way

Croydon

CR0 7NJ

Thank you for completing this form; if you would like to find out more about Orchard Park High School please visit our website at:

Orchard Park High School is part of the Greenshaw Learning Trust, which is a charitable company limited by guarantee registered in England and Wales, company number 7633694, registered office Greenshaw Learning Trust, Grennell Road, Sutton, Surrey, SM1 3DY.

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