Application for a Nursery Place at Jubilee Primary School

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Use this form to apply for a place in our nursery!

Email *

CHILD'S FIRST NAME *

CHILD'S MIDDLE NAME:

CHILD'S SURNAME: *

CHILD'S DATE OF BIRTH: *

YYYY

CHILD'S GENDER: *

MALE

FEMALE

OTHER

CHILD'S HOME ADDRESS: *

IS YOUR CHILD CURRENTLY ATTENDING ANY OF THE FOLLOWING:

PRIVATE NURSERY

CHILDMINDER

STAY AND PLAY SESSIONS

CHILDRENS' CENTRE

IF YOUR CHILD ATTENDS NURSERY OR A CHILDRENS' CENTRE, PLEASE STATE THE NAME:

ARE YOU APPLYING FOR A FULL OR PART TIME SPACE? *

FULL TIME SPACE, WITH A 30 HOURS CODE

FULL TIME SPACE, NOT ELIGIBLE FOR 30 HOURS BUT WILL PAY TOP UP FEE (£90 PER WEEK)

PART TIME, 15 HOURS OVER MONDAYS, TUESDAYS AND WEDNESDAY MORNINGS

PART TIME, 15 HOURS OVER WEDNESDAY AFTERNOONS, THURSDAYS AND FRIDAYS

NO PREFERENCE, BUT PART TIME

When would you like your child to start attending nursery?

PARENT / CARER DETAILS

MOTHER'S / PRIMARY CARER 1 FULL NAME: *

MOTHER'S / PRIMARY CARER 1 EMAIL ADDRESS; *

MOTHER'S / PRIMARY CARER 1 MOBILE NUMBER: *

FATHER'S / PRIMARY CARER 2 FULL NAME:

FATHER'S / PRIMARY CARER 2 EMAIL ADDRESS:

FATHER'S / PRIMARY CARER 2 MOBILE NUMBER:

ARE YOU A NEW ARRIVAL TO THE U.K.? *

YES

IF YOU ANSWERED YES, WHICH COUNTRY ARE YOU FROM?

PLEASE STATE YOUR CHILD'S MAIN HOME LANGUAGE: *

DOES YOUR CHILD HAVE ANY BROTHERS OR SIBLINGS CURRENTLY AT THE SCHOOL? PLEASE PROVIDE DETAILS. *

ARE YOU REQUESTING PRIORITY AS A TEACHER WORKING IN A HACKNEY SCHOOL? *

YES

ARE THERE ANY DEVELOPMENTAL, MEDICAL OR PHYSICAL NEEDS, INCLUDING DISABILITIES, RELATING TO YOUR CHILD? PLEASE PROVIDE DETAILS. *

DOES YOUR CHILD HAVE A SOCIAL WORKER? IF SO, PLEASE STATE DETAILS. *

DOES YOUR CHILD HAVE A CHILD PROTECTION PLAN (CPP) OR CHILD IN NEED PLAN (CIN PLAN)? *

Yes

WHERE DID YOU HEAR ABOUT JUBILEE NURSERY?

If you are allocated a space for your child in the nursery, we will contact you and ask for proof of address and a copy of your child's birth certificate. If you are applying for the 30 hours code, we will send you a link to complete a form with the details for us. If you have any questions, please contact us at admissions@jubilee.hackney.sch.uk

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