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yy) Essex County Council Continued Interest Application (Community/Voluntary Controlled Schools only) Consideration Period 1/09/2019- 31/08/2020 GREED pit vetaiis Ref Pupil Surname Date of Birth ) mate (__) Femate [ ( First Name(s) { ( Current Schoo! [ GRESEEMD tore address House Name orNumber (Sd Street —[ Post Town [ ] Postcode ( If you change address after completing this application form you must notify us of your new address. GREED Perent/carer Details Title { } initiays) { } Surname Home Telephone (1) Work elephone (Ld GEREEECNEMD = Schools you wish to continue to be considered for: Please list your preferred community/voluntary controlled school(s) below, indicating if your child has a sibling at any of the preferred schools. School Sibling name / date of birth Year group (1st ] | Sch i (2 en Boudica Primary [2nd] | (3ra) | (ath) | GETTID 1c020 sean meso notes of guidance carefully betore signing ‘This application may only be used for Community and Voluntary controlled status schools. For Foundation, Academy and Voluntary Aided preferences, please contact those schools directly. ‘This application will be acknowledged within 10 working days of receipt. If you do not receive an acknowledgement you must contact us immediately. + The Continued Interest Register is not held in ranked order and you cannot be provided with a position on the register. If a place becomes available at any of your preferred schools, your application will be considered alongside all other current applications. The application that ranks the highest against the school's admission criteria will be offered the place. A summary of the published admission arrangements can be found in the Primary/Secondary Education in Essex booklets. These can be viewed at www.essex.qov.uk. If you are the successful applicant you will be informed in writing. *An offer of a place does not guarantee a place for any future sibling or at any other school +If a school place has been obtained through false information, the Local Authority can withdraw the place offered. Proof of residency may be requested at any time. *Your application will be determined for the academic year as shown on the front of this form. If you are refused you will be given the right of appeal for this academic year. +If your child is not offered a place at one of the preferred schools in the 2019-20 academic year, you will need to renew your continued interest for 2020-21 in May 2020. A form will not be sent out automatically and you must contact us to request a new registration form SES vectaration | confirm that the information | have given on this form is true and that I have parental responsibility for this child. — ; Signed C “geo pate (27/26/19 J Return this form to: School Admissions, Essex County Council, County Hall, Chelmsford CM1 1QH. Telephone 0345 603 2200 or to Admissions@essex.gov.uk If you would like full details on how ECC uses personal data, please go to www.essex.qov.uk/privacy or call 03457 430430

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