ADMISSION TO THOMAS HARDYE SCHOOL APPEAL FORM

Please complete this form in BLACK CAPITALS using black ink and send it to:

The Clerk to the Thomas Hardye School Independent Appeals Panel, PO Box 64, Axminster, EX13 9AQ

CONFIDENTIAL

Note: This form is confidential. It will be copied and posted to members of the Appeals Panel and the person who will represent the Admission Authority at the appeal.

IMPORTANT: Please ensure that you have read the admissions and appeal procedure available at https://www.dorsetforyou.gov.uk/school-admissions/school-appeals before completing this form. Please note that the Thomas Hardye School has an independent panel separate from Dorset Local Education Authority. In addition, an information sheet concerning Admissions Appeals for the Thomas Hardye School is attached.

If you wish to provide copies of any documents in support of your appeal, please attach to this form when sending it to the Appeals Team.

When did you apply for a place at the Thomas Hardye School?......

Has your child been refused a place at this school? (NB; you can only appeal if you have received written notification that your child has been refused a school place)......

Year Group appealing for: ……………………………………………………………………………………………

I wish to appeal for a place for my child to be admitted:

(please tick appropriate box)

Now: September: Other (please specify):

Child’s Surname: ……………………………………………………… Child’s First Name(s): …………………………………………………………………..

Child’s date of birth: ...... Child’s present school (if any): ……………………………………………………..

Parent(s)/Guardian(s) Name(s): ……………………………………………………………………………

*Mr & Mrs / Mr/Mrs /Miss / Ms / Other ………………*please delete as appropriate

Relationship to child: …………………………………………………………………………………………

(mother/father/guardian etc)

Current Address: ...... ……………………………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………………………………………………………………………………………Postcode……………………… Home no.………………………………….. Work no. ……………………………………… Mobile………………………………………..… Email………………………………………………………………………………..

If you are appealing as a result of a house move please forward proof of exchange of contracts/signed rent agreements to the Clerk as proof of residence for your new address, as soon as possible,

New address:

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….Postcode…………………………………………………

New home telephone number: ……………………………………… Expected moving date: ……………………………………

Other children in the family:

Names Date(s) of Birth Name of School(s) (if attending)

…………………………………………… ………………………………………….. ……………………………………………………….

…………………………………………… ………………………………………….. ……………………………………………………….

…………………………………………… ………………………………………….. ……………………………………………………….

GROUNDS FOR APPEAL

Please set out clearly the grounds of your appeal. If there are any documents to be provided in support of your appeal, such as a medical report, it is your responsibility to ensure that they are obtained and attached to this form (or sent at least seven days in advance of the hearing to the Appeals Team at the address below).

(If necessary, please continue on a separate sheet.)

Signed: …………………………………………………………………………………………….. Date: …………………………………

Please send this form to The Clerk to the Thomas Hardye School Independent Appeals Panel, PO Box 64, Axminster, EX13 9AQ