Application deadline for all completed forms is 10th December 2021
You may return this application form via one of the following options:
Online using the form below
downloading the form, scanning and emailing to firstname.lastname@example.org By post to the Admissions Secretary, The Brian Clarke Church of England Academy, c/o The Blue Coat School, Egerton Street, Oldham, Lancashire, OL1 3S
By handing in the form at the reception desk of The Blue Coat School (see address above)
Places will be offered in accordance with the stated oversubscription criteria as set out in our Admissions Policy for 2022 at
www.brian-clarke.org/join-us/admissions-policy. Child's details Name: *
Gender: Date of Birth: *
DD slash MM slash YYYY
* Parent/Legal Guardian Details Name: *
Mobile Tel: * Home Tel: Work Tel: Email Address: *
Relationship to Child: * Do you have parental responsibility for this child? * Does your child have an Educational Health and Care Plan (EHCP)? * Is this child looked after or in the care of a local authority? * If 'yes' what is the name of local authority? Has the child been adopted after previously being in state care, either within or outside of England? * Please provide details of the primary school your child attends: School Name: * School Postcode: Faith-Based Places
The Brian Clarke Church of England Academy has a religious character and can offer up to 50% (120) places each year using faith-based criteria.
This is explained in paragraphs 3.2.1 and 3.2.2 of the Admissions Policy.
If this applies to you, please also complete a
Supplementary Information Form. Section B1 applies to Christian children and Section B2 applies to children of other faiths within the Interfaith Network. Please tick here if you are submitting a Supplementary Information Form as part of your application. *
Please complete the Supplementary Information Form and return it to the address above by
10th December 2021. This will mean that your child can be considered under the school’s faith-based oversubscription criteria.
I confirm that the above-named child is permanently resident at the address stated. I certify that the information given by me on this form is complete and true and I understand that the Admission Authority will take such steps as they consider necessary to verify the same. This may include carrying out data matching activities against council records which may include but not be limited to Council Tax and the Register of Electors. I note that misleading or fraudulent information could result in the withdrawal of any offer of a school place.
Data Protection Act
This form contains personal data as defined by the Data Protection Act 2018. As Data Controller, the Cranmer Education Trust will protect the personal data provided and ensure that it is not passed to anyone who is not authorized to see it. The information provided will be processed in accordance with the regulations contained in the Act and the Cranmer Education Trust Privacy Notice and GDPR Policy which can be viewed at
www.cranmereducationtrust.com/trust-policies By submitting this form, you agree that the Cranmer Education Trust may process your information in accordance with these terms. Application deadline for all completed forms is 10th December 2021 CAPTCHA Phone
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