YEAR 7: Application For Admission To The North Liverpool Academy
If you require any further information or assistance, please contact the Head Teacher of your childs Primary School or Mrs Collins on 0151 260 4044.

Please ensure you fill in the following document prior to submission - Assessment For Admission and send to Mrs Collins
Thank you for applying for a place at the North Liverpool Academy. The Open Evening is Thursday 24th September

1. Child's Details
Forename Surname

D.O.B Gender

Is your child in the care of the Local Authority?

Does your child have a statement of Special Education Needs?

Is your child undergoing assessment for Special Education Needs?

Primary School child attends

2. Parent/Guardians Details

Forename Surname

Home address of parent or guardian

Postcode Home Telephone

Work Telephone Mobile Telephone

Names of any other children attending North Liverpool Academy

Name Year Group House

Name Year Group House

Name Year Group House

Do you have any additional information that you may like to add to your application: you make like to read the oversubscription criteria to help you write this.

We operate a banding system to ensure that the Academy has students from every ability: From those with special needs to the very able. Students are assessed and

are placed in a band. This makes it fair for all students.

3. Declaration of Parent or Guardian

I have read the information in the Secondary School Admissions Booklet and I declare that the information given on this form is accurate and subject to verification.

I understand that in the event of my preferred school being oversubscribed there is no guarantee that a place will be available at that school for my child. The Academy

will be admitting 270 in September 2010 as stated in the admissions booklet.

I understand that the information provided on this form will be processed in accordance with the requirements of the 1998 Data Protection Act. It will be treated as

confidential and will only be used for the purpose of of the provision of Education Services. In connection with this purpose, the information may also be processed for

preventing any fraud or criminal offence or to ensure the health, safety and welfare of the child. In pursuit of these legitimate purposes, the information may be shared

with other admitting authorities to ensure that parents/guardians do not hold on to more than one offer of a place. The information may also be shared with

any organisations legitimately investigating allegations of fraud, criminal offences or child protection.

* if any information given is found to be false by the Governors, the offer of a place may be withdrawn