Supplementary Information Form "*" indicates required fields Step 1 of 8 - Basic Information 12% Supplementary Information FormPlease read the School Admissions Policy before completing this form. The completion of this Supplementary Information Form (SIF) does NOT constitute an application to the School; parents must name the School on the Common Application Form (CAF) for their child to be considered for a place. If the School is oversubscribed with pupils who have met the required standard for entry, the Admissions Committee will apply the oversubscription criteria for Year 7 Entry to produce an ordered list of applicants. This will be passed to the Local Authority. It is only necessary for parents to complete the SIF after they have been informed that their child has reached the required standard, when they have decided to prioritise the School on the CAF, and if they believe their child qualifies for priority under one of the oversubscription criteria. Parents are only required to complete the sections that apply to the applicant. If your online submission is successful you will receive an email confirmation. If you do not receive such a confirmation, please check your junk folder(s) to see if the email has been diverted. If you still cannot find the confirmation email or you are having trouble completing this form or you wish to register your child using a hardcopy of this form, please contact the Admissions Officer via admissions@ermysteds.uk or contact the School Office (01756 792186) for assistance. Privacy Statement Candidate DetailsChild's Name*Please supply the child’s full name as registered on their birth certificate. First Last Child's Date Of Birth*To be considered for a place at the School in September 2024, an applicant must have been born between 1 September 2012 and the 31 August 2013. For admissions outside of a child’s normal age group, parents should refer to the relevant section of the School’s Admissions Policy and contact the School directly. DD slash MM slash YYYY Contact Details of Parent or Carer Registering the ChildTo be used in case of queries and to send you confirmation of registration.Parent or Carer's Name* First Last Telephone 1*In the format XXXXX XXXXXXPlease enter a valid phone number. Email Address* Enter Email Confirm Email Home Address of Parent / CarerThis address will also be used to apply the School’s oversubscription criteria for Year 7 Entry (see Admissions Policy for details), in the event the candidate applies for a place at the School and such oversubscription criteria become necessary. Please enter your home postcode, then select from drop down list below* Postal Code Lookup Select an address: D18B-3B2G-0S0R-HHGH AlanWooley670412 1 2 1 Select an Address: Name/Number and Street Address Line 2 Town/City AvonBedfordshireBerkshireBristolBuckinghamshireCambridgeshireCheshireCornwallCumbriaDerbyshireDevonDorsetDurhamEast YorkshireEast SussexEssexGloucestershireGreater ManchesterHampshireHereford and WorcesterHertfordshireIsle of ManIsle of WightKentLancashireLeicestershireLincolnshireLondonMerseysideMiddlesexNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshireRutlandShropshireSomersetSouth YorkshireStaffordshireSuffolkSurreyTyne and WearWarwickshireWest MidlandsWest SussexWest YorkshireWiltshireAberdeenshireAngusArgyll and ButeAyrshireClackmannanshireDumfries and GallowayDunbartonshireDundeeEast LothianFalkirkFifeGlasgowHighlandInverclydeLanarkshireMidlothianMorayOrkneyPerth and KinrossRenfrewshireScottish BordersShetland IslesStirlingshireWest LothianWestern IslesAngleseyBlaenau GwentBridgendCaerphillyCardiffCarmarthenshireCeredigionConwyDenbighshireFlintshireGlamorganGwyneddMerthyr TydfilMonmouthshireNeath Port TalbotNewportPembrokeshirePowysRhondda Cynon TaffSwanseaTorfaenWrexhamCounty AntrimCounty ArmaghCounty DownCounty FermanaghCounty LondonderryCounty TyroneCounty Londonderry/DerryBarking and DagenhamBarnetBarnsleyBath and North East SomersetBedfordBexleyBirminghamBlackburn with DarwenBlackpoolBoltonBournemouthBracknell ForestBradfordBrentBrighton and HoveBristol, City OfBromleyBuryCalderdaleCamdenCentral BedfordshireCheshire EastCheshire West and ChesterCity of LondonCity of WestministerCounty DuramCoventryCroydonDarlingtonDerbyDoncasterDudleyEalingEast Riding Of YorkshireEnfieldGatesheadGreenwichHackneyHaltonHammersmith and FulhamHaringeyHarrowHartlepoolHaveringHillingdonHounslowIsles Of ScillyIslingtonKensington and ChelseaKingston Upon Hull, City OfKingston upon ThamesKirkleesKnowsleyLambethLeedsLeicesterLewishamLiverpoolLutonManchesterMedwayMertonMiddlesbroughMilton KeynesNewcastle upon TyneNewhamNorth East LincolnshireNorth LincolnshireNorth SomersetNorth TynesideNottinghamOldhamPeterboroughPlymouthPoolePortsmouthReadingRedbridgeRedcar and ClevelandRichmond upon ThamesRochdaleRotherhamSalfordSandwellSeftonSheffieldSloughSolihullSouth GloucestershireSouth TyneideSouthamptonSouthend-On-SeaSouthwarkSt. HelensStockportStockton-On-TeesSunderlandSwindonTamesideTelford and WrekinThurrockTorbayTower HamletsTraffordWakefieldWalsallWaltham ForestWandsworthWarringtonWest BerkshireWestrministerWiganWindsor and MaidenheadWirralWokinghamWolverhamptonYorkBerwickshireCumberlandHerefordshireHuntingdonshireSussexWestmorlandWorcestershireYorkshireClevelandCounty DurhamAberdeen CityComhairle Nan Eilean SiarDundee CityEast AyrshireEast DunbartonshireEast RenfrewshireEdinburgh, Cito OfGlasgow CityNorth AyrshireNorth LanarkshireOrkney IslandsSouth AyrshireSouth LanarkshireStirlingWest DunbartonshireArgyllshireBanffshireButeshireButeshireCromartyshireDumfriesshireInverness-ShireKincardineshireKinross-ShireKirkcudbrightshireMorayshirePeeblesshirePerthshireNairnshireRoss-ShireRoxburghshireSelkirkshireShetlandSutherlandWigtownshireArgyllIsle of HarrissIsle of IslayIsle of LewisIsle of SkyeHerefordshire, County ofIsle of AngleseyVale Of GlamorganAnglesey/Sir FonBrecknockshireCaernarfonshireCardiganshireMerionethshireMontgomeryshireRadnorshireClwydDyfedGwentMid GlamorgamSouth GlamorganWest GlamorganNorthern Ireland County Looked After or Previously Looked After childA Looked After Child is a child who is (a) in the care of a local authority, or (b) being provided with accommodation by a local authority in the exercise of their social services functions (see the definition in Section 22(1) of the Children Act 1989) at the time of making an application to a school. A Previously Looked After Child is a child who was previously looked after but immediately after being looked after became subject to an adoption, child arrangements, or special guardianship order. These categories include those who appear [to the admission authority] to have been in state care outside of England and ceased to be in state care as a result of being adopted. Is the applicant a Looked After or Previously Looked After child* Yes No Please outline your child's Looked After or Previously Looked After status*Supporting Evidence for Looked After or Previously Looked After child.For example, a letter from the local authority confirming that the child is Looked After. In the case of Previously Looked After children, a copy of the adoption order, child arrangements order or special guardianship order and a letter from the local authority that last looked after the child confirming that the applicant was looked after immediately prior to that order being made would suffice.How would you like to submit your evidence? Upload Supporting Evidence Submit Hardcopies To School Office Upload evidence Drop files here or Select files Accepted file types: jpg, pdf, Max. file size: 64 MB. Pupil PremiumPupil Premium is additional funding paid annually to schools under section 14 of the Education Act 2002 for the purposes of supporting the attainment of disadvantaged children. See www.gov.uk for full definitions and eligibility criteria. Is the applicant currently in receipt of the Pupil Premium? Yes No Supporting Evidence for Pupil PremiumFor example, an acknowledgement from the applicant's primary school or local authority confirming that the child is currently in receipt of Pupil Premium would suffice.How would you like to submit your Pupil Premium supporting evidence?Please select the appropriate check box indicating if you wish to upload evidence with this form or if you would prefer to submit hard copies in person to the School Office. Upload Supporting Evidence Submit Hardcopies To School Office Upload Supporting Evidence*Please upload your files here. You can upload multiple files. Please make sure the files are jpgs or pdfs. Maximum file size 256MB Drop files here or Select files Accepted file types: jpg, pdf, Max. file size: 64 MB. SiblingsWill the applicant have a brother at the School in September of the year of entry? Yes No Sibling InformationPlease provide the full name and date of birth of the applicant’s sibling(s). The School will check its records and use the Home Address as supplied in the applicant’s Entrance Test Registration Form to validate. Catchment AreaIs the applicant’s home address inside the School’s catchment area ? Yes No Supporting Evidence for Catchment AreaPlease see Appendix 1 in the School’s Admissions Policy for details of acceptable evidence under various scenarios that might apply to applicants. How would you like to submit your catchment evidence?Please select the appropriate check box indicating if you wish to upload evidence with this form or I you would prefer to submit hard copies in person to the School Office. Upload Supporting Evidence Submit Hardcopies To School Office Upload Supporting Evidence*Please upload your files here. You can upload multiple files. Please make sure the files are jpgs or pdfs. Maximum file size 256MB Drop files here or Select files Accepted file types: jpg, pdf, Max. file size: 64 MB. Please Review Your SubmissionYou can review and amend your submissions, using the previous and next buttons at the bottom of this page.{all_fields} DeclarationPlease note that incomplete or incorrect entries and/or a failure to submit the correct documentation to the School by the deadline will result in the application being placed in category (iii) of subsection (3) of the oversubscription criteria for Year 7 Entry (see the School Admissions Policy for details). Please tick the box below to confirmI confirm that I have read and understood the School’s Admissions Policy. I confirm that I hold parental responsibility (in law) for the child named in this registration form. I confirm that the information I have supplied in this form is true and accurate. I have included all necessary supporting evidence. Agreed by parent/carer Security