ST. MARTIN-IN-THE-FIELDS SUPPLEMENTARY FORM (SIF) HIGH SCHOOL FOR GIRLS Church of YEAR 7 ENTRY IN Headteacher: Beverley Stanislaus B.Ed NPQH SEPTEMBER 2018 155 Tulse Hill, SW2 3UP 020 8674 5594

CLOSING DATE FOR RETURN OF THIS FORM TO ST. MARTIN’S: 20 OCTOBER 2017

CHILD’S LEGAL SURNAME

(as on birth certificate/passport) CHILD’S LEGAL FORENAME DATE OF BIRTH (as on birth certificate/passport)

ADDRESS

(This must be the address where the child normally lives. If this is different from the parent/carer address, please give reasons for this. If parents share custody, this must be stated and both addresses shown. Proof of the child’s address, such as a copy of the child benefit statement, council tax bill or utility bill, must be attached to this form. Please do not bring originals as we are not able to copy them for you.)

PARENT/GUARDIAN WITH WHOM THE CHILD LIVES:

TITLE FULL NAME DAYTIME TELEPHONE NUMBER

ADMISSION CRITERIA

Please read carefully the Admission Criteria and then tick the criteria under which you are applying (this CRITERIA EVIDENCE could be more than one). Please attach supporting evidence where this is required in the criteria. (please tick) (please tick) 1. Looked after children

2. Sister 3. Regular worshipping member of a Christian church

[FOUNDATION PLACE ONLY, please give details overleaf] 3. Faiths other than the Christian faith [NON FOUNDATION PLACE ONLY] 4. Medical or Social Need 5. Nearness of home to school

NAME OF SISTER(S) ATTENDING THE SCHOOL AT TIME OF ADMISSION (in Years 7-11 only):

ADMISSION TEST If you are applying to any or all of the following schools, Archbishop Dunraven   Tenison’s, Dunraven, La Retraite, , Lilian Baylis Technology School, Nautical, Saint Gabriel’s, St Martin-in-the- La Retraite  Saint Gabriel’s  Fields, Platanos College or , your child will sit the test only once. Please indicate the school at which you would like your Lambeth Academy  St Martin-in-the-Fields  child to sit the test (tick one box only). Please note London Nautical and Archbishop Tenison’s are for boys only and St Martin-in-the-Fields is for girls only. Lilian Baylis  The Norwood School  PLEASE TURN OVER THIS SECTION FOR ST. MARTIN’S OFFICE USE ONLY VSAS QSAS NVSAS MeanSAS B (Required for administration of Admission Test) NAME OF CHILD’S PRESENT SCHOOL

ADDRESS

POSTCODE TELEPHONE NO. LOCAL AUTHORITY

Is this child on the SEN register? YES  NO  If yes, please indicate: School Action  School Action +  Statement  Does this child need support in English as a Second Language? YES  NO 

YOUR EMAIL ADDRESS

[this is essential as communication from school to home is mostly done via email using ParentMail]

DETAILS OF CHURCH MEMBERSHIP [FOUNDATION PLACE ONLY]

Name of Church attended by you and your daughter

Name of Minister of this Church

Address of this Church

Address of Minister (if different from above)

Telephone number of Minister

Have you and your daughter attended this church for at least the last three years? YES / NO

If less than three years, please give details of previous Church and attendance

Do you and your daughter attend services at this Church at least fortnightly? YES / NO

THE CLERGY FORM SHOULD BE GIVEN IMMEDIATELY TO YOUR MINISTER OF RELIGION WHO THEN NEEDS TO RETURN IT DIRECTLY TO ST. MARTIN’S BY 20 OCTOBER 2017

CHECK LIST

Before submitting your application, please check

 I have selected the criteria under which I am applying (could be more than one)  I have enclosed supporting written evidence where necessary, including proof of my child’s address  I have passed the Clergy Form to my Minister of Religion (where applicable)  I have completed all sections of the Supplementary Form  I have signed and dated the Supplementary Form (below)  I have named St. Martin’s as one of my choices on the Common Application Form (CAF)

NAME ______

SIGNED ______DATE ______