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UK Schools Student Information Form
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* Indicates required question
Email
*
Your email
STUDENT INFORMATION
First Name
*
Your answer
Surname:
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Nationality
Your answer
Sex
Male
Female
Prefer not to say
Clear selection
What is your religion?
Choose
Agnostic
Atheist
Buddhism
Chinese traditional religion
Christianity
Hinduism
Islam
Jainism
Judaism
Non-religious
Rastafarianism
Secular
Shinto
Sikhism
Other
Planned School Start Date (mm/yyyy)
*
Your answer
Passport Number
*
Your answer
Passport Expiry Date
*
MM
/
DD
/
YYYY
Visa Number (if applicable)
Your answer
Visa Expiry Date (if applicable)
MM
/
DD
/
YYYY
FAMILY INFORMATION
Parent / Guardian Full Name
*
Your answer
Relationship to the Student
*
Your answer
Job Title
*
Your answer
Email Address
*
Your answer
Contact Number
*
Your answer
House Number
*
Your answer
Street Name
*
Your answer
Town/City
Your answer
Post Code
*
Your answer
Country
*
Your answer
Does the student live at this address? (If 'No', please elaborate in the 'Other' field)
*
Yes
No
Other:
Please tell us if there’s anything the school needs to know regarding the student’s home circumstances:
Your answer
CURRENT SCHOOL INFORMATION
School Name
*
Your answer
School Address
*
Your answer
School Email Address
*
Your answer
School Contact Number
Your answer
Headteacher's Name
*
Your answer
Headteacher's Email Address:
*
Your answer
School Type
*
Independent
State
Other:
Student Type
*
Day student
Weekly student
Full board
Start Date
*
MM
/
DD
/
YYYY
Reason for leaving the school
*
Your answer
Student's Academic Achievements (the more detail the better!)
*
Your answer
Student's extra-curricular involvements (sports, music, drama, etc.)
*
Your answer
Is the student applying for a scholarship? (e.g. Sport or Music)
*
Yes
No
Maybe
Other:
Student's GCSE subjects and predicted/achieved grades (if applicable)
Your answer
Student's A Level/IB subject preferences (at least four) (if applicable)
Your answer
EXTRA INFORMATION
Which school(s) would the student like to apply for? (if known)
Your answer
When would the student begin at their new school? (mm/yyyy)
Your answer
Does the student have any long-standing condition, illness, or disability?
Yes
No
Other:
Clear selection
Does the student have any learning difficulties or special educational needs?
Yes
No
Other:
Clear selection
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