Supplementary Information Form Fronter补充资料表前线.docx

The Federation of St. Joseph’s R.C. Junior, Infantand Nursery SchoolJunior Admissions PolicyAnd SIF September 2013 IntakeReviewed September 2012Supplementary Information FormSt. Joseph’s Junior SchoolPlease read the Admissions Policy and procedures before completing this form.If you would like help in completing this form or with translations of the questions please do not hesitate to contact the school office and this will be arranged.All information given is strictly confidential and will only be seen by the Admissions Committee and your nominated Priest. In the event of an appeal it will be released to the independent appeal panel.THIS FORM MUST BE RETURNED TO THE SCHOOL. THE CLOSING DATE IS 15th JANUARY 2013. Your Common Application Form should also be returned to the school before the closing date.PLEASE USE BLOCK CAPITALS Child’s DetailsChild’s SurnameChild’s First Name(s)Male/ FemaleDate of BirthDD/MM/YYHome Address (this must be the address where the child normally lives) including postcodePlease attach proof of residency e.g. copy of utility billName of Home BoroughReligionDate of Baptism (please attach copy of Baptismal Certificate)Place Parish of BaptismDetails of the Parent/ Carer/ Guardian signing the formFull nameTitle Mr/Mrs/Ms etcAddress, including postcode Telephone numberHome:Daytime:Religion Relationship to ChildIn the case of the application being made by a guardian/carer - proof of guardianship or care order must be given at the time of application.Details of ALL other brothers/ sisters (see Important Notes for details) of the child named above who are attending either St. Joseph’s Infant or Junior Schools at the time of applicant’s admission (Sept 2013)Full NameYear group in Sept 2013Details of the Parish in which you liveName of the Parish (a) Name of Parish Priest(b) Address of Presbytery, including postcode and telephone number(c) Name Address of the priest to whom you will take this form in order to provide verification. (or your place