Dawn Academy Application Form
Please ensure all required fields are completed before submitting.
Details of Applicant
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Your Child's Current Year Group
*
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Child's Ethnic Origin
*
Asian or British Asian - Indian
Asian or British Asian - Pakistani
Asian or British Asian - Bangladeshi
Black, African, Caribbean or British Black
Arab or British Arab
Other
Details of Parent/Guardian
Parent/Guardian 1 Name
*
First Name
Last Name
Parent/Guardian 1 Profession
*
Parent/Guardian 1 Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
Parent/Guardian 1 Email
*
example@example.com
Parent/Guardian 1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 1 Relationship to Applicant
*
Father or Step-Father
Mother or Step-Mother
Other
Parent/Guardian 1 Status
*
Married
Separated
Divorced
Widowed
Other
Parent/Guardian 2 Name
*
First Name
Last Name
Parent/Guardian 2 Profession
*
Parent/Guardian 2 Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
Parent/Guardian 2 Email
*
example@example.com
Parent/Guardian 2 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 2 Relationship to Applicant
*
Father or Step-Father
Mother or Step-Mother
Other
Parent/Guardian 2 Status
*
Married
Separated
Divorced
Widowed
Other
Does the child live with both Parents/Guardians?
Yes
No
Emergency Contacts
Please provide different information from what was included in the section above.
Emergency Contact 1 Name
*
First Name
Last Name
Emergency Contact 1 Relationship to Applicant
*
Emergency Contact 1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact 1 Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
Emergency Contact 2 Name
*
First Name
Last Name
Emergency Contact 2 Relationship to Applicant
*
Emergency Contact 2 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact 2 Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
Islamic Education
Name of current Madrassa or Islamic learning institute, your child currently attends
*
Please outline your child's current learning in Madrassa. E.g. If your child is a Hifz pupil, how many Para have been learnt to date?
*
Secular Education
What is your Child's current Educational Status?
*
Home Education
Attends School
Medical Information
What is your G.Ps. Name?
*
First Name
Last Name
What is your G.Ps. Phone Number?
*
Please enter a valid phone number.
Format: 00000000000.
What is your G.Ps. Address?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does the applicant suffer from any medical conditions, allergies or have undergone surgery?
*
Yes
No
If Yes, please give details including any current Medication taken
Is there any other information the school should be aware of?
Does your child suffer from Asthma?
*
Yes
No
Is your child on the SEND register or a recipient of intervention support?
*
Yes
No
If Yes, please give details
Is your child supported by your local authority?
*
Yes
No
If Yes, please give details
Other Information
As part of our admissions process, we may contact your child’s current or previous school for a reference. Do you consent to us requesting this information?
*
Yes
No
Your Child's current school name
*
Your Child's current school address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Child's current school Email
*
example@example.com
Your Child's current school Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
Admission Process
Once your application is received, our admission process will be as follows: A reference request will be sent to your child's current school if they are not homeschooled. Your child will be called to undertake an admission assessment. Once the assessment is marked, your child will be called for an interview with a member of Senior Management team. Following a consultation between the Headteacher and Senior Management, a final decision will be made regarding your child's admission.
Submit
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