Years 8-11 application form

Boarding Application Form

* Indicates required field

Pupil's full name *

Date of birth dd/mm/yyyy *

Nationality *

Please summarise your need for boarding *

Intended start date *

If 'Other' was selected above, please specify the start date mm/yyyy *

Intended year of entry *

Do you have any present or previous connections with Beechen Cliff e.g. brothers or sisters? *

Name of Parent/Carer 1 *

Address of Parent/Carer 1 *

Home telephone number of Parent/Carer 1 *

Mobile telephone number of Parent/Carer 1 *

Work telephone number of Parent/Carer 1 *

Email address of Parent/Carer 1 *

Name of Parent/Carer 2 *

Address of Parent/Carer 2 *

Home telephone number of Parent/Carer 2 *

Mobile telephone number of Parent/Carer 2 *

Work telephone number of Parent/Carer 2 *

Email address of Parent/Carer 2 *

To whom should correspondence be sent? *

Name of present School *

Name of Headteacher *

Email address of Headteacher *

Telephone number of present School *

Present School address *

Dates of attendance at present School e.g. Sept 2014 - Present *

Reason for leaving present School *

All referees will be contacted. Interviews will be offered following successful reference requests.

Name of Referee *

Telephone number of Referee *

Email address of Referee *

Please specify any known disability, medical condition or diagnosed learning difficulties that the School should be aware of *

Is your child a Looked After Child? (please supply details) *

Has your child been referred to any outside agencies (please supply details) *

Is your child eligible for Free School Meals? *

Apply