Details of Student
Legal name MUST be as it appears on the student's Birth Certificate
Legal Surname
Legal Forename
Legal Middle Name(s)
Preferred Surname
Preferred Forename
Date of Birth
Gender
Email Address
Address
Postcode
Home Telephone Number
Siblings attending Downham Market Academy or Athena Sixth Form College (if any)
When you've submitted this form, we'll send a confirmation email to the email address provided above.
Course Preferences
Choice 1
Please make a selection...
Biology
Chemistry
Classical Civilisation
Creative Media Production
Criminology
Economics
English Language
English Literature
Film Studies
Fine Art
French
Football and Education
Geography
Government & Politics
Health and Social Care
History
Mathematics
Mathematics (Further)
Music
OCR AAQ in Human Biology
Physics
Psychology
Sociology
Spanish
Sport & Physical Education
Theatre Studies
Level 3 Applied Diploma in Criminology
Level 3 Childcare - NCFE CACHE Diploma in Early Years Education and Care
Choice 2
Please make a selection...
Biology
Chemistry
Classical Civilisation
Creative Media Production
Criminology
Economics
English Language
English Literature
Film Studies
Fine Art
French
Football and Education
Geography
Government & Politics
Health and Social Care
History
Mathematics
Mathematics (Further)
Music
OCR AAQ in Human Biology
Physics
Psychology
Sociology
Spanish
Sport & Physical Education
Theatre Studies
Level 3 Applied Diploma in Criminology
Level 3 Childcare - NCFE CACHE Diploma in Early Years Education and Care
Choice 3
Please make a selection...
Biology
Chemistry
Classical Civilisation
Creative Media Production
Criminology
Economics
English Language
English Literature
Film Studies
Fine Art
French
Football and Education
Geography
Government & Politics
Health and Social Care
History
Mathematics
Mathematics (Further)
Music
OCR AAQ in Human Biology
Physics
Psychology
Sociology
Spanish
Sport & Physical Education
Theatre Studies
Level 3 Applied Diploma in Criminology
Level 3 Childcare - NCFE CACHE Diploma in Early Years Education and Care
Choice 4
Please make a selection...
Biology
Chemistry
Classical Civilisation
Creative Media Production
Criminology
Economics
English Language
English Literature
Film Studies
Fine Art
French
Football and Education
Geography
Government & Politics
Health and Social Care
History
Mathematics
Mathematics (Further)
Music
OCR AAQ in Human Biology
Physics
Psychology
Sociology
Spanish
Sport & Physical Education
Theatre Studies
Level 3 Applied Diploma in Criminology
Level 3 Childcare - NCFE CACHE Diploma in Early Years Education and Care
Career intentions, including Higher Education (if known)
Predicted GCSE grades
Details of Parents/Carers with whom the Student lives
Title
Surname
Forename
Date of Birth
National Insurance (NI) Number
Relationship to Student
Mobile telephone number
Home telephone number
Email Address
Place of work
Work telephone number
Title
Forename
Surname
Date of Birth
National Insurance (NI) Number
Relationship to Student
Mobile telephone number
Home telephone number
Email Address
Place of work
Work telephone number
Please tell us immediately if any of the above details change
Separate Parent Information
For those with parental responsibility (but who may not necessarily reside with the child). In English law, Parental responsibility is a legal phrase used to define who has the rights and obligations in making decisions which affect the child's life. Parental responsibility includes legal rights and responsibilities in choosing and providing for the child's education. Unless there is a Protection Order from the Court, the College has a legal obligation to provide all people with parental responsibility, reports and school information. The College will assume that the person/s listed below, who has/have parental responsibility, but with whom the student does not reside, will automatically receive information regarding the pupil.
Protection Order Information
If there is a Protection Order issued against the person/s listed below, who have parental responsibility, please provide details on a separate piece of paper, to the attention of the College Designated Safeguarding Lead. The information you provide will be treated as strictly confidential but may be shared with other relevant members of staff at the discretion of the Designated Safeguarding Lead.
Title
Forename
Surname
Date of Birth
National Insurance (NI) Number
Relationship to Student
Address
Postcode
Home telephone number
Mobile telephone number
Email Address
Place of work
Work telephone number
Emergency Contact Details (other than Parents/Carers)
These are very important to us. If your child becomes ill during the day, we need to be able to contact you or someone acting for you who is able to collect your child. If we are unable to contact you, you may wish to give the contact details of up to two persons who may (with their agreement) act on your behalf in an emergency. If you have no relatives in the area, then ask a friend, neighbour or childminder if they would be willing to act as an emergency contact.
Contact Priority 1 (if parents/carers not available)
Title
Forename
Surname
Relationship to Student
Mobile telephone number
Home telephone number
Work telephone number
Contact Priority 2 (if parents/carers not available)
Title
Forename
Surname
Relationship to Student
Mobile telephone number
Home telephone number
Work telephone number
Lunch Arrangements
** Please provide details
The Education Funding Agency are committed to ensuring that those students who claim Free School Meals receive additional funding for their education so please do check your eligibility and claim if you are entitled to.
Please supply any further information (religious or cultural - e.g., food, dress, days of observance) which you feel may impact on your child's school life.
Medical Details
It is important that you provide us with information of the medical centre/surgery that your child is registered with.
Surgery Name and Address
Surgery Telephone Number
Student's Medical Needs/Conditions
Allergies or intolerances (including food, medications or other substances)
Long term medical conditions
Short term medical conditions
Occasional medical conditions
Ongoing medical conditions
Please note that if your child has a long term, ongoing health needs they may require an Individual Health Care Plan (IHCP). The College will be in contact to arrange a suitable time to complete an IHCP with you.
It is helpful for the College to have copies of letters that diagnose conditions - please provide these in a sealed envelope for the attention of the SENCO at the College.
Should your child suffer from any medical conditions that require them to take medication at school, this will be kept in a locked cupboard in our first-aid room. You need to provide us with the following:
Medication in its correct packet/container - blister packs for tablets are not acceptable.
Bottled medicine must be new and unopened, so we can monitor correct usage.
MUST have a dosage on the packet/bottle if an 'Over the counter medicine'
MUST have a prescription label if a prescription only medicine, with a valid 'from' date, expiry date, dosage and student's name on it. The label must be clear and not tampered with.
Written permission from the parent to administer the medication
Name of medication(s)
Dosage and frequency to be taken
It is the responsibility of the parent/carer to update the College of any changes to their child's medical needs
Special Education Needs (SEN)
If YES, please indicate below to confirm if your child is identified on the SEN register at their current school and if they have an Education and Health Care Plan (EHCP):
Please provide SEN/EHCP details
Ethnic Information
To help us and the local authority in monitoring equal opportunities you are asked to complete the following: Family's Ethnic Origin. (our ethnic background describes how we describe ourselves. This may be based on many things, including, for example, skin colour, culture, ancestry or family history. Ethnic background is not the same as nationality or country of birth.)
Ethnicity
National Identity
First Language
Other Language(s)
Religion
Travel Arrangements
Most used method of transport
Details of last school attended
A representative of Athena Sixth Form College will contact your child's previous school, prior to the starting with us to gather relevant information to ensure that transition is smooth.
Name of School
On what date did your child start at their current / last school
On what date did your child leave/due to leave their current/last school
Reason for leaving
If your child is not currently attending school, please tell us the date on which your child left their most recent school
Service Children in School
Schools are now required to indicate whether a child has parent(s)/guardian(s) currently serving in regular military units of any of the armed forces, and designated as Personnel Category 1 or 2.
Children in care of a Local Authority
If yes, please name of Local Authority and provide details of the social worker currently assigned
Parent / Carer Consent
We require permission from you for several things. Please fill in the permission tick boxes below. In an instance of an organiser needing to contact you whilst your child is participating in a school trip the contact details used will be those recorded on the College database - it is therefore essential that any changes to contact telephone numbers are notified to the College as quickly as possible. Likewise, any medical conditions which your child may develop over their time at the College should also be reported to us.
Throughout my child's time at Athena Sixth Form College, I give the following permissions for my child:
Local Visits
Name of Parent/Carer giving permission
Date
Use of Photograph/Video/DVD images
At Athena Sixth Form College we take the issues of child safety very seriously, and this includes the use of images of pupils.
Name of Parent/Carer giving permission
Date
Biometric Data
Athena Sixth Form College operates a Cashless catering service. New students will be enrolled onto the system upon joining the College. The method of recognition which Athena Sixth Form College has chosen is Thumbprint scanning. This system does not store any personal identity data on the system. When purchasing food from the canteen, your child will simply place their thumb on the reader when they arrive at the till. Students whose parents/carers do not consent to the use of biometric data will still have a cashless catering account but this will be access manually by the till operators entering the student's name - operating accounts in this way means that transactions will take longer and also carries a higher risk of administrative error, whereby incorrect accounts could be inadvertently debited.
Name of Parent/Carer giving permission
Date
Declaration
Digital Signature (please type your name)
Relationship to Child
Date
Submit Admission Form