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Application for Admission to

St Joseph’s Cathedral Primary School

Caepistyll Street ( Greenhill ( Swansea ( SA1 2BE

stjosephscathedralprimary.swansea.sch.uk

stjosephscathedralprimary@swansea-.uk

01792 653609

Applicant Information

Please provide the full LEGAL name of the child:

Legal Surname: __________________________________________ Legal Forename:

Middle Name(s): Gender: Child’s Date of Birth:

(Please provide a copy of the child’s birth certificate at the time of application)

Child’s place of residence (including post code):

Post Code:

If the child is known by a different name to that given above, please provide this information below:

Preferred Surname: Preferred Forename:

(During the admissions procedure you must notify St Joseph’s Cathedral Primary School in writing of any change of home address. Where a place is offered based on the address given on this application form, but it is subsequently found to have changed because you have moved home, the place may be withdrawn. Places offered on the basis of fraudulent or intentionally misleading information will be withdrawn. Please provide a copy of proof of your address at the time of application. Your statutory right of appeal will not be affected).

Parental Information

Please provide the name(s) of parent(s) or adult(s) with parental responsibility (carers). Please ensure your post code is included in the address information below and provide evidence of *First Contact’s current address eg Council Tax Notice, Utility Bill.

|(1) First Contact* | |(2) Second Contact |

|Title: __________ Forename: | |Title: __________ Forename: |

|Surname: | |Surname: |

|Address: | |Address: |

|Post Code: __________ | |Post Code: __________ |

|Relationship to child: | |Relationship to child: |

|Home Telephone Number: | |Home Telephone Number: |

|Mobile Telephone Number: ______________________ | |Mobile Telephone Number: ______________________ |

|Parental responsibility? Yes / No | |Parental responsibility? Yes / No |

E-mail Address: E-mail Address:

(to receive weekly newsletters etc.)

Please indicate if the pupil is of: UK Service Personnel Yes No

Education History

If applicable, please give details of current/previous schools attended by the child:

|School (1) | |School (2) |

|Name of school: | |Name of school: |

|Address of school: | |Address of school: |

| | | |

|Dates attended: FROM____________ TO____________ | |Dates attended: FROM____________ TO____________ |

|Please give a brief reason why your child is leaving their current school (if relevant): |

| |

|Have you discussed your child’s school move with their current school (if relevant)? Yes / No / Not Applicable |

Sibling Information

Please provide the names and dates of birth of any of the child’s siblings who are currently on the register at St Joseph’s Cathedral Primary School. Please also state if siblings are baptised catholic or not:

| | | |Baptised |

| | | |Catholic? |

|Name: |Class: _______ |Date of Birth: |Yes / No |

|Name: |Class: _______ |Date of Birth: |Yes / No |

Medical Details

Please provide details of the Medical Centre or Surgery that the child is registered with:

Medical Centre Name & Address:

Telephone Number:

Does the child have any special medical conditions or dietary requirements of which you wish the school to be aware?(e.g asthma, eczema, vegetarianism etc.. Yes / No. If yes, please specify below:

Religion

Please tick one of the following:

Catholic Christian Buddhist Hindu Jewish Muslim Sikh

No Religion Other Religion (please specify)

Has the child been baptised catholic? Yes / No

If yes, date of baptism:

Please attach a copy of the baptismal certificate with this application form and provide the following details:

Name and full address of church where baptism took place:

Name and address of the church you regularly attend and the name of the parish priest/leader:

Parish Priest/Leader:

Has your child made their first Holy Communion? Yes / No

Welsh Language

The following questions ask about the Welsh language ability of the pupil and its use in the home. Please tick the statement which best describes the child’s fluency in Welsh:

1. Fluent in Welsh

2. Speaks Welsh, but not fluently

3. Cannot speak Welsh at all

If you have ticked either question 1 or question 2 above, please select the THREE most appropriate statements from each of the following sub-sections:

(a) Does not speak Welsh at home

Speaks Welsh at home

(b) Speaks Welsh with siblings

Does not speak Welsh with siblings

(c) Speaks Welsh with one parent or guardian only

Speaks Welsh with both parents or guardians

Does not speak Welsh with parents or guardians

National Identity and Ethnic Background

This information will be passed to the Local Education Authority and the Welsh Assembly Government, and, in the case of pupils moving to sixth form, the National Council for Education and Training Wales, to contribute to local and national statistics. Information about your child’s national identity and ethnic background will be passed on to any other school in Wales to which your child transfers, to save you being asked for it again. The Welsh Assembly say: “ We are interested in ensuring that pupils from all ethnic backgrounds in Wales, whether majority or minority ethnic backgrounds, enjoy equal opportunities in every aspect of school life. We therefore hope that all parents will fill in the enclosed form.”

National Identity (the national identity group you most identify with)

Please tick one of the following:

Welsh English Scottish Irish British

Other (please specify) __________________________________ I do not wish a national identity to be recorded

Home and First Language

Home Language (The language predominantly used at home):

First Language (Any language learnt as a small child even if they learnt English as well):

Country of Birth:

Country of Parents’ Origin:

Date of arrival if born outside of the United Kingdom:

Please complete the additional form ‘Supplementary Admissions Information’ if your child’s first or home language is not English

Ethnicity

Please tick the appropriate ethnic background description for the child:

|White-British | |Indian |

|Traveller | |Pakistani |

|Traveller of Irish Heritage | |Mirpuri Pakistani |

|‘New’ Traveller | |Other Pakistani |

|Occupational Traveller | |Bangladeshi |

|Other Traveller | |Any other Asian background |

|Show Person | |African Asian |

|Gypsy/Gypsy Roma | |Kashmiri |

|British Gypsy | |Nepali |

|EU Roma | |Sinhalese |

|Gypsy | |Sri Lankan Tamil |

|Gypsy from Other Countries | |Other Asian |

|Other Gypsy | |Caribbean |

|Other Roma | |African |

|Roma from Other Countries | |Eritrean |

|Any other White background | |Ghanaian |

|Albanian | |Nigerian |

|Bosnian-Herzegovinian | |Sierra Leonian |

|Bulgarian | |Somali |

|Croatian | |Sudanese |

|Czech | |Other Black African |

|French | |Any other Black background |

|German | |Black European |

|Greek/Greek Cypriot | |Black North American |

|Hungarian | |Other Black |

|Italian | |Chinese or Chinese British |

|Kosovan | |Hong Kong Chinese |

|Latvian | |Malaysian Chinese |

|Lithuanian | |Singaporean Chinese |

|Maltese | |Taiwanese |

|Montenegran | |Other Chinese |

|Polish | |Any other Ethnic background |

|Portuguese | |Afghanistani |

|Romanian | |Arab |

|Russian | |Egyptian |

|Scandinavian | |Eritrean |

|Serbian | |Filipino |

|Slovakian | |Irani |

|Slovenian | |Iraqi |

|Spanish | |Japanese |

|Turkish/Turkish Cypriot | |Korean |

|Ukranian | |Kurdish |

|White European Other | |Latin/South/Central American |

|Other White | |Lebanese |

|White and Black Caribbean | |Libyan |

|White and Black African | |Malay |

|White and Asian | |Moroccan |

|Any other mixed background | |Polynesian |

|White and Chinese | |Saudi Arabian |

|White and any other ethnic group | |Syrian |

|Asian and Black | |Thai |

|Asian and Chinese | |Vietnamese |

|Asian and any other ethnic group | |Yemeni |

|Black and Chinese | |Other Ethnic Group |

|Black and any other ethnic group | | |

|Chinese and any other ethnic group | |I do not wish an ethnic background to be recorded |

|Other mixed background | | |

| | | |

Additional Information

Is the child a *Looked After Child? Yes / No. If yes, please state the corporate parent (ie Local Authority):

Local Authority: ___________________________________________________________________________

*A looked after child refers to a child who is looked after by the local authority under Section 22(1) of the Children Act 1989 at the time as application to a school is made and who the local authority has confirmed will still be looked after at the time of admission to the school.

Does the child have a Statement of Special Educational Needs which names a school? Yes / No.

Has the child recently arrived from outside the United Kingdom? Yes / No. If Yes, date of arrival

Parent’s/Carer’s Declaration

I declare that all the information which I have provided is true. I understand that any school place offered on the basis of fraudulent or intentionally misleading information may be withdrawn. I have read St Joseph’s Cathedral Primary School’s Admission Arrangements which are published on the school website at stjosephscathedralprimary.swansea.sch.uk

Signed: ____________________________________________ (Parent/Carer) Date: ________________________

Please print name clearly: _________________________________________________

Please return this completed application to:

Reception 2021 Admissions

St Joseph’s Cathedral Primary School

Caepistyll Street

Greenhill

Swansea

SA1 2BE

If you are happy to receive notification on the outcome of the application

via email please tick here

Data Protection (GDPR)

St Joseph’s Cathedral Primary School is the data controller for the personal information you provide on this form. Your information will be used to help us fulfil our legal obligations in admitting your child to school and the creation of a pupil record and will not be used for any other purpose. As required by law we will share your data securely with the following third parties: Swansea City Council and the Welsh Government.

Data protection law describes the legal basis for our processing your data as it being necessary for compliance with a legal obligation.  For further information about how we use personal data, including your rights as a data subject, please see the privacy notice on our website stjosephscathedralprimary.swansea.sch.uk

Any other information

-----------------------

RECEPTION APPLICATION FOR SEPT 2021

For Office Use Only:

|Date Received | |

|Acknowledgement Sent? |Yes / No |

|Birth Cert R’vd | |

|Baptismal Cert R’vd | |

|Proof of address R’vd | |

|Intake Year & Class | |

|Offer? |Yes / No |

|Class | |

|DOA | |

|Staff Initials | |

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