2015 Application Form

Townley Road Dulwich
London SE22 8SU
T: 020 8557 1519 F: 020 8693 3597
juniorregistration@alleyns.org.uk
alleyns.org.uk
Registered charity number 1057971
Alleyn’s Junior School
Registration for admission in September 2015 at 4+, 7+ or 9+
Please answer all questions in full on both sides of the form, using BLOCK CAPITALS
Please underline the name generally used
Candidate’s Surname
Candidate’s Forename(s)
Date of Birth
D
D
M
Sex
M
Y
Y
M
Application for age group
F
4+
7+
9+
Registrations are accepted between 1st September – 28th November IN THE YEAR BEFORE PROPOSED ENTRY. Registrations received too early will be returned.
Parent 1: Name
Title
Occupation
Home address
Postcode
Email
Tel: Home
Business
Mobile
Parent 2: Name
Title
Occupation
Home address
(if different from above)
Postcode
Email
Tel: Home
Business
Mobile
If parents live apart please indicate to whom correspondence should be sent:
PARENT 1
PARENT 2
If applicable please give the name and address of any other person whose consent to the child coming to the
school should be obtained
Name and address of candidate’s present school or nursery
(to whom immediate reference will be made)
Postcode
Email
Tel
Head Teacher
Date started
DD-MM-YY
Please tick to confirm candidate’s nationality:
British
European within EEA
Other*
(please specify)
(please specify)
*If you have ticked ‘Other’ please note that unless you have made a written request for the School to sponsor the candidate under Tier 4 completion of this form
represents your confirmation and representation that the candidate has the unconditional right to enter, live and study in the UK for the duration of the education
offered by the School. Failure to give correct information will constitute a material breach of any agreement/s entered into between the School and you in relation to
the education of the candidate entitling the School to terminate all and any such agreement/s without any obligation to return any deposit or fees paid.
2015
For office use:
Fee paid £75
Date of Birth
Computer
Acknowledged
Report request/received
Registration for admission in September 2015
at 4+, 7+ or 9+ (continued)
Please affix photo
of child here
TO HELP THE INTERVIEWER, PLEASE COMPLETE THE FOLLOWING:
Candidate’s name
Candidate’s first language
Other languages spoken
Siblings (names and ages)
Any previous family connection with Alleyn’s?
Previous school(s) attended with dates, if applicable
Medical history where still relevant
Does your child have any specific learning differences? (eg Dyslexia, Dyspraxia etc)
Yes/No (If yes, please include full details in a covering letter)
If so, have they been assessed by an Educational Psychologist?
Yes/No (If yes, please attach any resulting report)
Information about existing or suspected medical conditions, disabilities or learning differences must be given at the time of registration. This is in order that the
school may have time to put the required provisions in place.
Particular interests of your son/daughter and any other information which will help us to talk, e.g. likes, dislikes,
favourite games, pets, interesting experiences, instruments played (with Grades, if taken), hobbies, sporting
achievements, etc.
I have received and read the Admissions Policies 2014 booklet.
Parent 1 signature
Date
Parent 2 signature
Date
Please securely attach a passport-sized photograph of the candidate to this form where indicated above.
A cheque for the £75 registration fee, which is non-refundable, should be made payable to Alleyn’s School.
Please detach this form and send it together with your cheque and photograph to:
The Registrar, Alleyn’s Junior School, Townley Road, London, SE22 8SU.
Townley Road Dulwich London SE22 8SU
T: 020 8557 1519 F: 020 8693 3597
juniorregistration@alleyns.org.uk
alleyns.org.uk
Registered charity number 1057971
National Curriculum SATS results 2013
KS2
Alleyn’s Junior
School %
National
Average %
96
47
98
41
English (Reading, grammar,
punctuation and spelling)
Maths
Level 5 or above
Assessment dates January 2015
Open days 2014
4+
Monday 5 January
27 September
10am to 1pm
4+
Tuesday 6 January
6 November
1.30pm to 3pm
4+
Saturday 10 January
18 November
1.30pm to 3pm
7+
Tuesday 13 January
7+
Saturday 17 January
9+
Wednesday 14 January
Fees 2014-15
Infants
£4,713 per term (£14,139 p.a.)
Juniors
£4,911 per term (£14,733 p.a.)
Senior School
£5,529 per term (£16,587 p.a.)
The fees include:
• School lunch
• School outings
• Books
• Residential trips
• Hockey mouthguard (Years 3-6)
• Personal accident insurance cover
School policies are available on our website at alleyns.org.uk.
The Standard Terms & Conditions of entry to the school are available on our
website and will be sent at the time an offer is made.
Registrations for 4+, 7+ and 9+ entry in September 2015 will be accepted
between 1 September and Friday 28 November 2014. We regret that
incomplete applications or those that reach us after this date cannot be
accepted and will be returned.
Your application will be acknowledged by post.
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Entrance to
Junior School
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via Hillsboro Road
AV
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Alleyn’s
School
CA
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James Allen’s
Girls’ School
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DULWICH
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Dulwich
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NOT TO SCALE
Townley Road Dulwich London SE22 8SU
T: 020 8557 1519 F: 020 8693 3597
juniorregistration@alleyns.org.uk
alleyns.org.uk
Please note
Entrance to the Junior
School can only be
made on foot, either
from Hillsboro Road or
Townley Road. Limited
parking is available in
the streets around the
school. The school is a
10 minute walk from
North Dulwich or East
Dulwich Station, and
adjacent to the 37 bus
stop on East Dulwich
Grove.