INDEPENDENT INFANT SCHOOL ADMISSION APPEAL

Please complete all sections of this form and returned no later than 20 school days after you received your refusal letter. You also need to read the appeal information booklet at www.educationappeals.com/school-information/appealinfo/

PLEASE READ THIS. You can only appeal if you have already applied for a place and have been refused a place. This form requires you to upload TWO utility bills dated within the last three months. If you do not have access to a scanner, we suggest you take photographs using a mobile phone.

DO NOT COMPLETE THIS FORM UNLESS YOU HAVE APPLIED

FOR A PLACE AND BEEN REFUSED.

If you need help with this form, telephone 020 3151 0400

Appeal Ref Number Office use only

Do not complete this box

Email *

We will use this e mail address to contact you.

Name of school appealing for

Any other area *

Hackney Schools *

Haringey Schools *

Havering Schools *

Kensington & Chelsea, Westminster and Fulham & Hammersmith *

Kent and South East London *

Tower Hamlets Schools *

Your home address - Address line 1 *

Address line 2 *

Address line 3

Postcode *

Child's first name *

Child's last name *

Date of Birth *

dd-MMM-yyyy

Mr/Mrs/Ms/other *

Your last name *

Relationship to child *

Mobile Phone *

List of schools applied for and in order of preference. *

Use one line for each preference

School allocated *

State name of school allocated by Local Authority, even if rejected OR the current school.

Name and capacity of other persons who will accompany you to the hearing.

Tell us about your own disability which might prevent you from attending the hearing. If none, please type none. *

We find that the best translators are family or friends as they know your circumstances. Please select one of the following *

Please check one box

Which language?

Education Health Care Plans. Please select *

Please tick one box. This is a formal plan agreed with the Local Authority.

Appeal dates are normally set months in advance. Please state any dates we should try to avoid.

The appeals codes states that you MUST give your reasons when lodging your appeal. If you do not give grounds this form will be rejected. Ensure you include why your child's needs can BEST be met by this school. *

Do you agree to receiving less than 14 days notice of the hearing? *

Upload two utility bills (eg Council Tax) with your address dated within the last 3 months.

Upload up to 5 additional PDF or doc files you wish the panel to see. If you have additional documents, please email clerk@educationappeals.com

Declaration *

I wish to exercise my right of appeal under the School Standards & Framework Act 1998. I am the person with legal parental responsibility for the child named above and the information given is true to the best of my knowledge and belief. I understand that if I do not attend the hearing, the appeal will be heard in my absence using the information I have supplied on this form together with any other information sent to the Clerk to the Appeal Panel before my hearing date. I agree for my data to be stored electronically and to be contacted by post, e mail, text and telephone. I agree that the Principal Clerk shall be sent by my Local Authority a copy of my original application form or a 'screenshot', together with name of the school allocated. I agree for copies of paperwork submitted to be sent to panel members and the school I am appealing for a place. I confirm that I have uploaded two household bills with proof of address dated within the last three months. e.g. Council Tax, bank statement, rent book, telephone bill, or water bill have been uploaded. The panel reserve the right to conclude an appeal without a decision if these terms are breached.

Please tick to confirm the above declaration

Today's Date

dd-MMM-yyyy

For office use only

INDEPENDENT INFANT SCHOOL ADMISSION APPEAL

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