YEAR 7 STUDENT PRE ADMISSION FORM

DATA PROTECTION ACT
The information you provide will be used by your child’s teachers and by the Education Authority. It will help the school staff to get to know your child. Some of the information will be supplied as general statistical data about Tower Hamlets’ students to the Local Education Authority and the Department for Education. Information used in this way would not reveal a students’ identity or include individual names and addresses. All information given will be treated confidentially and kept securely. All computerised data held on students is covered by the Data Protection Act 2018. You have the right to check that the information held is correct. For more information please see the full privacy notice available on our website at www.central.towerhamlets.sch.uk/Policies

Student Details

Student Surname:* Student Forename:* Student Date of Birth:*

*I agree that this is the legal spelling of my child’s name which will be reflected as such on academic reports and exam certificates.

Parents' / Guardian Details - Contact 1

Parent / Guardian Surname:* Parent / Guardian Forename:* Title:* If other, please specify: Gender:* Relationship to student:* Post Code:* Address:* * Day Phone Number: Work Phone Number: Home Phone Number: Mobile Number:* Email Address:* Student's Residence:* Parental Responsibility:*

Parents' / Guardian Details - Contact 2

Parent / Guardian Surname:* Parent / Guardian Forename:* Title:* If other, please specify: Gender:* Relationship to student:* Post Code:* Address:* Day Phone Number: Work Phone Number: Home Phone Number: Mobile Number:* Email Address:* Student's Residence:* Parental Responsibility:*

Other emergency contacts in the event student is unwell etc, and parent/guardian cannot be contacted. It is essential we have two emergency contacts in addition to parents/guardians:

Emergency Contact 1

Full Name:* Title:* If other, please specify:* Relationship to student:* Post Code:* Address:* Day Phone Number: Mobile Number:*

Emergency Contact 2

Full Name: Title: If other, please specify: Relationship to student: Post Code: Address: Day Phone Number: Mobile Number:

Medical Information

Doctor's Name:* Post Code:* Address:* Phone Number:*

Please record any medical information below, including details of action to be taken in an emergency.

Please tick all boxes that apply. Is the student:

Asthmatic

Has she been prescribed an asthma pump in the last 12 months? If so, what kind of pump does she use? Please upload a copy of her Asthma card

Diabetic

If so, does she have a Care Plan in place in her primary school? Please upload a copy of her Care Plan with this Pre-Admission form

Epileptic

If so, does she have a Care Plan in place in her primary school? Please include a copy of her Care Plan with this Pre-Admission form

Allergies

If so, please list what they are: Please explain what happens when the students comes into contact with the allergen/s. For example, an irritation, red eyes, rash, sneezing, swollen lips, vomiting or wheezing. Does she have a Care Plan for this in her primary school? Please include a copy of her Care Plan with this Pre-Admission form Is the student prescribed an Epi-Pen? Is the student prescribed Cetirizine? Does the student have a diagnosed medical condition not listed above? If so, please specify and state whether your daughter has a Care Plan for this in her Primary School . Please include a copy of her Care Plan with this Pre-Admission form Does the student regularly take any other prescribed medication? If so, please specify. Please only include details of prescribed medicine that she is likely to still take when she starts the CFGS in September 2021.

Parents/guardians are required to provide sufficient and up-to-date information about the student's health. Please contact the school office to update us if there is any change to the student's medical needs.

Background

What is the student's ethnic origin? (Please refer to the Ethnicity Codes list enclosed with your pack)* What is the student's first language?* Does the student practice a religion? If so, please specify:*

Please select if relevant:

Refugee statusIn public careSocial Care involvementParents ever served in the armed forces

Does the student have siblings at CFGS?* If yes, please state their name and form. Please include past CFGS students who are siblings.

Student as a Learner

Current primary school:* Did the student attend any other primary schools prior to the one above?

If yes:

Name of the previous school: Dates the student attended this school: Reason for changing schools: What language did the student study at primary school? (Please note we cannot guarantee your preference but will endeavour to match it) If other, please specify: Has the student been placed on the High Potential register in primary school? If so, for which subjects: Does the student have access to a computer at home?* With internet access?* Are you aware of our Central activities? (Listed in the enclosed Transition Booklet)* Has the student signed up for the transition workshops in the summer holiday? (Application form on back of the enclosed Transition Booklet)* Does the student want to learn to play a musical instrument? Tuition in Year 7, 8 and 9 is free of charge.* Please specify which instrument. If she already plays an instrument, please state which grade has she achieved Does the student have any other interests?

Aspirations

Does the student know what career/s she might like to go into?*

Learning Support

Is the student on the Special Educational Needs (SEN) Register?* If yes, please specify which stage:

What are the student’s main areas of needs?

If other, please specify: Has the student received any extra Mathematics, English or Reading help at school, or tuition at home? Please specify:

SEN (Special Educational Needs)

Outside Agencies:

Has the student’s school ever recommended outside support for your daughter’s SEN needs?

If yes, please list who has been involved:

If other, please specify. Please include names, dates and details if you have them.

Language

If not born in the UK, how many years has the student been in Britain? If from abroad, how old was she when she started school? Does the student speak another language at home?* Which language?

In that language, can she:

Read Write

Attendance and Punctuality

What is the student's attendance percentage (%) at primary school?

If you don’t know the actual percentage (%) then select one of the following:

Excellent (98% and above)Good (95-98%)Poor (95% and below)

What were the reasons for the student missing days of school? Has there ever been any involvement of the school attendance service? (This would have happened if her attendance was 90% and below (ie.Persistent Absence)*

Application for Free School Meals

If the student is entitled to free school meals, or you would like to check if she is entitled to them, please fill in this form. It is really important that you fill this form in neatly so that we are able to accurately read numbers and letters. If we cannot read information accurately, this could delay the students’s application or she may end up not receiving the free meals she is entitled to. Thank you.

About the Student

Student's surname: Student's first name: Student's date of birth: Name of student's school:

Parent / Guardian Details

Parent / Guardian 1

Surname: First name: Date of birth: National insurance number: National Asylum Support Service (NASS) number: Daytime phone number: Mobile number: Post code: Address:

Parent / Guardian 2

Surname: First name: Date of birthday: National insurance number: National Asylum Support Service (NASS) number: Daytime phone number: Mobile number: Post code: Address:

Family Income and Benefit Details

If you receive any of the benefits listed below, please check this box.

• Income Support
• Income-based Jobseekers Allowance
• Income-related Employment and Support Allowance
• Support from NASS under part 6 of the Immigration and Asylum Act 1999
• the guarantee element of Pension Credit
• Child Tax Credit (with no Working Tax Credit)
• Working Tax Credit run-on
• Universal Credit

Universal Credit

If you are in receipt of Universal Credit, is your net earned family income over £7,400 per year? (Please place an X in the appropriate box).

Your net earned income is your household income after taxes and deductions. It does not include income through Universal Credit or other benefits that you may receive.

YesNoUnsure

Child Tax Credit

If you are in receipt of Child Tax Credit, is your joint gross annual income over £16,190 per year? (Please place an X in the appropriate box).

Your joint gross income is your household income before taxes are taken into account.

YesNoUnsure

If you’re not sure whether you receive one of the listed benefits, or what your household income is, but you would still like us to check whether your child is eligible for free school meals, please place an X in this box.

Declaration

The information I have given on this form is complete and accurate. I understand that my personal information is held securely and will be used only for local authority purposes. I agree to the local authority using this information to process my application for free school meals. I also agree to notify the local authority in writing of any change in my family’s financial circumstances as set out in this form.

Signature of parent / guardian: Date:

Thank you for completing this form and helping to make sure Central Foundation Girl’s School is as well funded as possible.

Central Foundation Girls’ School Home School Agreement

Parent / Guardian

As a parent / guardian of a student at Central Foundation Girls' School I will:
• Ensure the student attends school regularly, on time, in uniform and with correct equipment
• Support the student to do her homework
• Support school policies regarding behaviour
• Attend parents' evenings and other meetings concerning the student's progress
• Inform the school if there is a problem that would affect the student's education
• Agree to the student having her photograph taken, kept on school databases and used within the school for identification purposes

Student

As a student of Central Foundation Girls' School I will:
• Attend school regularly, on time, in uniform, with the correct equipment
• Have a good attitude towards learning at school as well as at home
• Know the school Code of Conduct and follow it at all times
• Follow the school rules
• Treat the whole school community and environment with respect
• Speak to a member of staff if I have any problems or concerns
• Actively contribute to the life of the school and the wider community

School

As individual staff and the whole school we will:
• Aspire to meet all the aims of the CFGS Vision Statement and transform lives through our high expectations and high standards for all.
• Insist on a high standard of work and behaviour by building good relationships between students, home and school
• Provide an accessible and balanced curriculum to meet the needs of the student
• Set, mark and monitor homework in line with school policy
• Provide facilities for the student to do her homework in school
• Care for the student's health, safety and happiness
• Listen to parents and students and treat everyone with respect
• Enable the student to make a positive contribution to society

We agree to support the Home School Agreement:

Signed (parent / guardian):* Signed (student):*

Governors' Policy on Leave During School Time

The Department for Education has issued guidance to schools and Local Authorities in relation to holidays and leave in term time and this policy reflects the requirements of this guidance.

As a Rights Respecting School, CFGS places the UNCRC at the heart of the school’s culture and ethos in order to improve students’ well-being and develop every student's talents and abilities to their full potential. This policy is designed to ensure that the rights and principles inherent in the UNCRC are respected.

The School Governing Body has authorised the Headteacher to act on its behalf in ensuring that the school fully complies with the requirements.

Applications for Holidays or Leave in Term Time
Holidays in Term Time
The guidance from the Department for Education states that applications from parents/guardians for students to take leave in term time for the purpose of a holiday should not be authorised. Parents/Guardians are expected to arrange holidays during school holiday periods when children can enjoy them without their education being disrupted. This position is fully supported by the Local Authority.

Any applications for holidays in term time will be refused by the Headteacher.

Leave in Term Time for Other Reasons
Requests for leave in term time for other reasons can only be agreed in exceptional circumstances and for the shortest possible period. The School Governing Body also expects applications for leave in term time other than for holidays to normally be refused. However, in exceptional circumstances discretion may be appropriate although this will very rarely happen and no more than 10 days will normally be agreed.

Any applications for leave in term time for other reasons must be submitted at least 10 days in advance to the Headteacher. Applications received during or after a student has been taken on leave during term time cannot be considered and the absence will be unauthorised.

Parents/Guardians must provide supporting evidence of any exceptional circumstances and why the leave must be taken in term time instead of in the school holidays. All applications will be considered carefully, including how the student's educational progress could be affected. Where the request for leave involves travelling abroad parents are asked to produce the return tickets before leave is approved.

When considering an application for leave in term time for exceptional circumstances, the Headteacher must be convinced that:
(1) The exceptional circumstances are justified by supporting evidence provided by the parents/guardians related to the circumstances and that the supporting evidence is valid; and
(2) The evidence necessarily warrants the child being absent from school in term time, i.e. does the child have to be absent in term time due to the circumstances or can it wait until the school holidays?

Taking of Unauthorised Leave in Term Time
Where parents/guardians choose to take students on unauthorised leave in term time then the students will be referred to the Attendance & Welfare Service for follow-up and consideration for action using the LBTH Penalty Notice Scheme to address Attendance-related Concerns –September 2013.

A Penalty Notice may be served on an individual parent/guardian per individual child basis when the child has had 6 sessions (3 days) of unauthorised leave in term time. Where 2 parent/guardians take 3 children on unauthorised leave in term time then they will receive 3 Penalty Notices of £60 each - £180 per parent and £360 in total. There is no right of appeal.

Losing the school place
Parents are responsible for returning their child to school on time. If there is continued unauthorised absence, the student's name will be removed from the register. Parents will then have to re-apply for admission via the Local Authority when they return, but it may not be possible for the student to return to this school.

I have read and understood the governors’ policy above.

Signed (parent / guardian):*

Student E-Safety Guidelines for all ICT use (including within and outside of school)

Golden rule - We ask all students to act safely and responsibly when using computers, laptops, phones and the Internet. If you receive or come across anything on the internet that makes you feel uncomfortable – tell an adult.

Some people on the internet are not who they say they are so be careful who you chat to and make friends with on Social Networking sites like Snapchat, Instagram and when playing computer games.

Do not become ‘friends’ with people on social networking sites whom you have not met in person.

Never agree to meet anyone you have met online without telling an adult first
• I understand I must report any worries I have to an adult.

• I understand to always ask my parent/guardian for permission to meet people that I have met online.

Do not put any personal information online and ensure your privacy settings are high. Check your privacy settings regularly to make sure they are up-to-date. Using a nickname online can keep you safe.

Don’t post personal information online like email addresses, home or school addresses or mobile phone numbers to people you do not know. Do not give information about clubs you are attending or where you are at specific times of the day.

Only post photographs which you would be happy with your parents seeing and make sure they don’t show where you or others live. Once a photograph has been put online, you can never get it back or stop it being sent to others, even if you delete it.

Do not share your passwords and log in details as people could access your information without your permission.

Never send any video clips, films, pictures or documents that are in any way inappropriate, offensive or illegal.
• I understand to keep my personal information safe
• I understand to only send appropriate, legal content via internet, or using technology.

Always respect others - cyberbullying is not acceptable and does cause distress to others. This is now an offence, the police can be called and people can be charged with harassment. Treat people as you would like to be treated.

• I understand not to use digital technology to write hurtful comments, bully or make threats.

Student name:* Signed:*

CFGS Student ICT Acceptable Use Agreement

As a student at the school I agree to use ICT facilities and the internet responsibly:

1. I agree to only access sites and download content that are related to my school work and I will tell adults about any sites that I am worried about.
2. I will only use my own login, email address and password, which I will not share with others
3. I will not download or install anything onto the school network
4. I will avoid plagiarism (copying) by providing clear references to sources and websites that I have used for my work
5. I will scan all USB devices for viruses before I download any files on to the network
6. I will not play computer games during the school day unless they support my learning
7. I will not use the internet without permission from a member of staff. I will log off from the internet if I am asked to do so
8. I will only print copies of my work when it is really necessary.
9. I will not use chat rooms and social networking websites during the school day
10. I will notify an adult immediately if I suspect someone else of misusing ICT facilities or the internet
11. I will not try to access the school Wi-Fi without permission from my teacher

I am responsible for my actions and it is my responsibility to keep myself and others safe online and while using other technologies.

I understand that the school must take appropriate action if I have broken the Student Acceptable use Policy.

The school may decide to:
• Give a sanction/warning
• Inform my parents
• Give a detention
• Internally or externally exclude me
• Inform the police
• Restrict my access to the school ICT system.

Student name:* Signed:*

Permissions - To Be Checked Individually

Please read these statements in conjunction with the Parents’ Handbook. Please tick to say that you understand the statement or, for the last three statements, whether you Do Consent or Do Not Consent. Please note that permission for the last three statements can be withdrawn at any time.

*I understand the information I supply will be used by the Skills Funding Agency, an executive agency of the Department for Education (DfE), to issue the student with a Unique Learner Number (ULN), and to create her Personal Learning Record (for more information about how your information is processed and shared refer to the Extended Privacy Notice available on www.gov.uk).

*I understand the school’s E-Safety Advice and Agreement (page 14)

*I understand the school’s practice regarding trips during school time (page 17 )

*I have filled out the included Pupil Premium form to claim free school meals for the student (Tick only if this applies to you – see Page 21 of the Parents’ Handbook to see if the student qualifies for free school meals)

*I understand that parents/guardian are required to provide sufficient and up-to-date information about the student's health and contact the school office to update us if there is any change to the student's medical needs (page 23)

*I will inform the school as soon as possible if I change my address or telephone number

I agree that CFGS may use photographs, audio and video recordings of the student on its website, in social media and in publicity materials, (page 26)

*I Do ConsentI Do Not Consent

I agree that CFGS can use the student’s biometrics for cashless catering purposes (page 21)

*I Do ConsentI Do Not Consent

I understand the school’s policy regarding compulsory referrals to an independent careers service linked to the school (page 26)

*I Do ConsentI Do Not Consent

I certify that the information on this form is correct and I understand that the information is subject to the terms of the Data Protection Act 1998.

Full name of adult accompanying student at interview:* Relationship to student:

Please review this form to ensure that all permissions are checked and all signatures present.

Parent / Guardian's signature:* Student's signature:* To receive a copy of your completed form, please provide your preferred email address:

YEAR 7 STUDENT PRE ADMISSION FORM

Student Details

Parents' / Guardian Details - Contact 1

Parents' / Guardian Details - Contact 2

Emergency Contact 1

Emergency Contact 2

Medical Information

Background

Student as a Learner

Aspirations

Learning Support

SEN (Special Educational Needs)

Language

Attendance and Punctuality

Application for Free School Meals

About the Student

Parent / Guardian Details

Family Income and Benefit Details

Declaration

Central Foundation Girls’ School Home School Agreement

Governors' Policy on Leave During School Time

Student E-Safety Guidelines for all ICT use (including within and outside of school)

CFGS Student ICT Acceptable Use Agreement

Permissions - To Be Checked Individually

Cookie Policy