In Year Admission Application Form

Please carefully read the Academy's Admission Policy, which is published on the Academy's website and available in hard copy form from the Academy's main office, before completing this form. Where the child is eligible for priority as the child of a member of staff, the employed parent must complete this form and the Children of Staff Supplementary Information Form. No details of the child's other parent must be provided at this stage. Please note that, if you are seeking admission to a different year group than your own normal year group, you will also need to complete a Request for Admission Outside Normal Age Group form.

Application Form

Part A - Child's details:
Child's full legal name:*
Child's date of birth:*
Child's home address: (as defined in the Admission Policy)*
Part B - Looked after/previously looked after children:
Is the child a looked after or previously looked after child? (Please refer to the Admission Policy for the definition of a 'looked after child' and 'previously looked after child' before answering)* YesNo
If the answer to the above question is 'Yes', the application must be accompanied by a signed letter from the candidate's social worker or former social worker confirming their status.
Part C - Children with an exceptional medical and/or social need:
Does the child meet the criteria for inclusion in the oversubscription category for children with an exceptional medical or social need, or who have a close family member with an exceptional medical or social need?* YesNo
(Please refer to the Admission Policy for the definition of 'exceptional medical or social need' and other requirements before answering)

If the answer to the above question is 'Yes', the application must be accompanied by a completed and signed Exceptional Medical or Social Need Supplementary Information Form, which is available to download via the Academy's website or in hard copy format from the Academy's main office.
Part D- Children with a sibling at Harris Academy Bermondsey at the time of admission:
Will the child have a sibling in Years 7 -13 at Harris Academy Bermondsey at the time of admission?* YesNo
(Please refer to the Admission Policy for the definition of 'sibling' and other requirements before answering)
If the answer to the above question is 'Yes', please provide full details of one sibling below:
Sibling's full legal name and date of birth:
Part E - Children of staff:
Does the child meet the criteria for inclusion in the oversubscription category for a child of a staff member?YesNo
(Please refer to the Admission Policy for the definition of 'children of a staff members' and other requirements before answering)

If the answer to the above question is 'Yes', the application must be accompanied by a completed and signed Children of Staff Supplementary Information Form, which is available to download via the Academy's website or in hard copy format from the Academy's main office. Please note that only the employed parent's details should be given in Section F below, and they must sign and date this form. If 'No', any parent's details can be provided.
Part F - Parent's details:
Parent's full name:
Parent's address: (if different to the child's home address)
Parent's email address:
Parent's contact number:
Upload supporting evidence here:
Part G - Declaration:
I certify that the information that I have provided in this form is true and accurate, to the best of my knowledge and belief:
Signed:
Dated:
If you have any further questions please email: admissions@harrisbermondsey.org.uk
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In Year Admission Application Form

Application Form

Part A - Child's details:

Part B - Looked after/previously looked after children:

Part C - Children with an exceptional medical and/or social need:

Part D- Children with a sibling at Harris Academy Bermondsey at the time of admission:

Part E - Children of staff:

Part F - Parent's details:

Part G - Declaration:

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