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ALL FIELDS MARKED WITH A * ARE REQUIRED ENTRIES
APPLICATION FOR A PLACE AT MIDDLE SCHOOL
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APPLICATION FOR A PLACE AT HIGH SCHOOL SEPTEMBER 2006
FOR A CHILD WITH A STATEMENT OF SPECIAL EDUCATIONAL NEEDS  
PLEASE RETURN THIS FORM WITHIN 15 DAYS OF RECEIPT TO:

Special Educational Needs,
Children's Serives Directorate
County Hall,
Newport,
Isle of Wight,
PO30 1UD
Personal Details
* Child's name
Child's date of birth

Year
Month
Day
* Current school
Preferred High School
* My preferred high school is
Parents have the right to express a preference for (one only) maintained school – mainstream or special. You have a right to also make representations with reasons to the LEA regarding preference for a non-maintained special school or an independent school.

Signed........................................................................


Date............................................
Print Name
Telephone Number
FOR OFFICE USE ONLY



Date received......................................................................

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