Application Form

In Year Application form

* Required Field

1. Student's Details

Student's Family Name / Surname(s)*
Student's Given Name/ First Name(s)*
Student's Date of Birth*
Student's Home Address*
Students Current School Year*
Does the Student have a sibling(s) living at the same address attending any PolyMAT Academy?*
Yes
No
If Yes, please provide name(s), school(s) and Date(s) of Birth(s) of Sibling(s) who already attend any PolyMAT Academy
Is the Student's parent/carer a member of staff at any PolyMAT academy?*
Yes
No
If Yes, please provide the name of the school and staff member name

2. Details of Current/Previous School

Full name of Student's current school/last school attended and full address (including postcode)*
Last date of attendance*
Reason for leaving current school*
Has the Student previously been educated abroad?
Yes
No
If Yes, please provide the name and full address of the school (including country)
Start Date
End Date
Date Returned to the UK
Have you notified the Students current school of your application *
Yes
No

3. Parent or Carers details

Primary Contact

Title*
Family Name/ Surname*
Given Name/ First Name*
Parent/Carer home address (including postcode)*
Daytime Telephone Number*
Email Address*
Relationship to Student*

Secondary Contact Details

Title*
Family Name/Surname*
Given Name/ First Name*
Address*
Relationship to Student*
Day time contact number*

Third Contact

Title*
Given Name/ First Name*
Family Name/Surname*
Relationship to Student*
Day time contact number*

4. Looked After Children

Is the Student adopted?*
Yes
No
Is the Student a child looked after or previously looked after and now adopted or subject to a residence or special guardianship order immediately following having been looked after?*
Yes
No
If Yes, please provide the date the student went into care
Borough of Care for looked after child
Does the Student have a Private Guardianship*
Yes
No
Is the Student a young carer*
Yes
No

5. SEN, Medical or Social

Does the student have a current EHCP?*
Yes
No
Does the Student have any Special Educational Needs (SEN)?*
Yes
No
If Yes, please provide more information
Do you feel that there is an acute exceptional medical or social reason why your child should be offered a particular school?*
Yes
No

6. Ethnic/Cultural Background

Student's Ethnicity*
Is the Student identified as EAL (English as an Alternative Language)*
Yes
No
If Yes, how would you categorise their level
Struggling with English and in need of support
No need for support
Student's country of Birth*
If outside of the UK please provide Date of Arrival in UK
Students who are given a place at Woolwich Polytechnic School will be invited in for an interview and test, would you require an interpreter?*
Yes
No
If Yes, please specify for what language

7. Additional Information 

Has the student been permanently excluded? *
Yes
No
Is the student currently being educated at home*
Yes
No
Are any of the Students Guardians in the Armed Forces?*
Yes
No
You have no recourse to Public Funds*
Yes
No
Title
Verification*
Slide the arrow to the right to complete verification.

SUBMIT
Tel: 020 8059 2800 Email: info@woolwichpolygirls.co.uk
Registered Office: Hutchins Road, London, SE28 8AT
Woolwich Polytechnic School is operated by POLYMAT which is a charitable company limited by guarantee and registered in England and Wales. Reg no. 9078530