51 Finchale Road, Abbey Wood, London SE2 9PX

Tel: 020 8311 3868

Fax: 020 8312 1642

Email:

SUPPLEMENTARY APPLICATION FORM FOR THOSE SEEKING ADMISSION TO

ST PAUL’S ACADEMY IN SEPTEMBER 2011

You must complete a Common Application Form, which you will obtain from your local LA or primary school and you must return it to that LA. IN ADDITION, you should complete this form for entry to St. Paul’s Academy if you are applying for a Catholic/Faith place and return it to the Admissions Officer at the above address. If you make any false statement, any place offered may be withdrawn. If you have any difficulty in completing this form, please contact the Admissions Officer on the above number.

PLEASE ONLY COMPLETE THE SECTIONS RELEVANT TO YOUR CHILD AND ENCLOSE ALL NECESSARY DOCUMENTATION.

DETAILS OF CHILD

SURNAME ……………………………………………………….DATE OF BIRTH ………………..…………

FIRST NAMES ……………………………………………………………………………………………..…………..

HOME ADDRESS ………………………………………………………………………………………………………

……………………………………………………………………… POST CODE ……………...…………………

FEMALE/MALE (delete as appropriate)

DETAILS OF PARENT/CARER

SURNAME ……………………………………………….INITIALS ……………….. TITLE……………………

ADDRESS (ONLY if different from child’s)………………………………………………………………………….

……………………………………………………………………………………………………………………………

HOME TELEPHONE NUMBER ……………………………………….. …………………………………………..

DAYTIME TELEPHONE NUMBER/MOBILE ……………………………………………………………………..

Details of other children who will already be attending St Paul’s Academy AT THE TIME of admission (i.e. in September 2011):

Full name of brother/sister / Age

5.INFORMATION ABOUT RELIGIOUS PRACTICE

DATE OF APPLICANT’S BAPTISM …………………………………..… PARISH ……………..………………

DATE OF APPLICANT’S FIRST HOLY COMMUNION ……………….. PARISH …………………………..…

A COPY OF THE BAPTISMAL AND FIRST COMMUNION CERTIFICATE MUST BE ATTACHED TO THIS APPLICATION FORM

Parent/Carer Signature …………………………………….. Date ………………

PRIEST’S REFERENCE

REVEREND FATHER:

The child named on page one of this form has applied for one of the designated Catholic/Faith places at St Paul’s Academy. In order to ensure that these places are allocated fairly, we would be grateful if you would complete the following questions.

Thank you for your help.

The family is known to me:YES NO 

The child is known to me:YES NO 

Saturday night/Sunday Mass attendance (Please circle which applies in each case)

Child / Weekly Fortnightly Monthly Occasionally
Has this pattern been for at least two years? YES  NO 
Mother/Carer / Weekly Fortnightly Monthly Occasionally
Has this pattern been for at least two years? YES  NO 
Father/Carer / Weekly Fortnightly Monthly Occasionally
Has this pattern been for at least two years? YES  NO 

Please feel free to add any further comment which you believe might be helpful to the school in considering this application.

PRIEST SIGNATURE: …………………………… DATE ………………..…….…

PARISH: ………………………………………… TEL NO …...…………………

PLEASE ENSURE YOU HAVE ENCLOSED COPIES OF BAPTISMAL AND FIRST COMMUNION CERTIFICATES IF RELEVANT.

THIS FORMMUST BE RETURNED TO ST PAUL’S ACADEMY BY FRIDAY 22nd OCTOBER 2010

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