1School preferences 2Child's details 3Parent/Carer details 4Declaration 5Summary Progress School preferences Details of schools in order of preference Choose up to 5 secondary schools in order of preference that you would like your child to attend in September. We strongly advise you to state 5 different schools to maximise your chances of securing a place in a school of your choice. 1st choice -- Please Select -- Alsop High School Archbishop Beck Sports College Archbishop Blanch School Bellerive FCJ Catholc College Broughton Hall Catholic High School Calderstones School Cardinal Heenan Catholic High School Childwall Sports and Science Academy Dixons Broadgreen Academy Dixons Croxteth Academy Dixons Fazakerley Academy Gatacre Comprehensive School Holly Lodge Girls College King David High School King's Leadership Academy Liverpool LIPA High School Liverpool College Independent School Trust North Liverpool Academy Notre Dame Catholic College St Edward's College St Francis Xavier's College St Hilda's Church of England High School St John Bosco Arts College St Julie's Catholic High School St Margaret's Church of England Academy The Academy of St Francis of Assisi The Academy of St Nicholas The Belvedere Academy The Blue Coat School West Derby School Non-Liverpool school (please specify) Please specify 1st choice school 2nd choice (optional) -- Please Select -- Alsop High School Archbishop Beck Sports College Archbishop Blanch School Bellerive FCJ Catholc College Broughton Hall Catholic High School Calderstones School Cardinal Heenan Catholic High School Childwall Sports and Science Academy Dixons Broadgreen Academy Dixons Croxteth Academy Dixons Fazakerley Academy Gatacre Comprehensive School Holly Lodge Girls College King David High School King's Leadership Academy Liverpool LIPA High School Liverpool College Independent School Trust North Liverpool Academy Notre Dame Catholic College St Edward's College St Francis Xavier's College St Hilda's Church of England High School St John Bosco Arts College St Julie's Catholic High School St Margaret's Church of England Academy The Academy of St Francis of Assisi The Academy of St Nicholas The Belvedere Academy The Blue Coat School West Derby School Non-Liverpool school (please specify) Please specify 2nd choice school 3rd choice (optional) -- Please Select -- Alsop High School Archbishop Beck Sports College Archbishop Blanch School Bellerive FCJ Catholc College Broughton Hall Catholic High School Calderstones School Cardinal Heenan Catholic High School Childwall Sports and Science Academy Dixons Broadgreen Academy Dixons Croxteth Academy Dixons Fazakerley Academy Gatacre Comprehensive School Holly Lodge Girls College King David High School King's Leadership Academy Liverpool LIPA High School Liverpool College Independent School Trust North Liverpool Academy Notre Dame Catholic College St Edward's College St Francis Xavier's College St Hilda's Church of England High School St John Bosco Arts College St Julie's Catholic High School St Margaret's Church of England Academy The Academy of St Francis of Assisi The Academy of St Nicholas The Belvedere Academy The Blue Coat School West Derby School Non-Liverpool school (please specify) Please specify 3rd choice school 4th choice (optional) -- Please Select -- Alsop High School Archbishop Beck Sports College Archbishop Blanch School Bellerive FCJ Catholc College Broughton Hall Catholic High School Calderstones School Cardinal Heenan Catholic High School Childwall Sports and Science Academy Dixons Broadgreen Academy Dixons Croxteth Academy Dixons Fazakerley Academy Gatacre Comprehensive School Holly Lodge Girls College King David High School King's Leadership Academy Liverpool LIPA High School Liverpool College Independent School Trust North Liverpool Academy Notre Dame Catholic College St Edward's College St Francis Xavier's College St Hilda's Church of England High School St John Bosco Arts College St Julie's Catholic High School St Margaret's Church of England Academy The Academy of St Francis of Assisi The Academy of St Nicholas The Belvedere Academy The Blue Coat School West Derby School Non-Liverpool school (please specify) Please specify 4th choice school 5th choice (optional) -- Please Select -- Alsop High School Archbishop Beck Sports College Archbishop Blanch School Bellerive FCJ Catholc College Broughton Hall Catholic High School Calderstones School Cardinal Heenan Catholic High School Childwall Sports and Science Academy Dixons Broadgreen Academy Dixons Croxteth Academy Dixons Fazakerley Academy Gatacre Comprehensive School Holly Lodge Girls College King David High School King's Leadership Academy Liverpool LIPA High School Liverpool College Independent School Trust North Liverpool Academy Notre Dame Catholic College St Edward's College St Francis Xavier's College St Hilda's Church of England High School St John Bosco Arts College St Julie's Catholic High School St Margaret's Church of England Academy The Academy of St Francis of Assisi The Academy of St Nicholas The Belvedere Academy The Blue Coat School West Derby School Non-Liverpool school (please specify) Please specify 5th choice school Sibling details Does your child have a brother or sister who currently attends any of your preferred schools? Yes No Please give details Full name of sibling Date of birth Gender Female Male School attended Add item No information is required, please proceed to the next page. Child's details Details of child starting Year 7 in September First name Middle name (optional) Last name Date of birth Gender Female Male Child's permanent home address Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Child's current primary school Is the child in the care of a local authority? Yes No Which local authority is responsible? Social worker name Social worker contact Has the child previously been in the care of a local authority? Yes No Which local authority was responsible? Social worker name Social worker contact We are required to give high priority to children looked after previously who are now adopted or have a residency or special guardianship order. Please provide supporting evidence below if you wish to be considered under this priority. Details (optional) Upload any supporting evidence (optional) If needed, you can select multiple files to upload when the File Upload window appears. To do this, hold down Ctrl and click on each file you want to upload to highlight it, and then press Open. The maximum combined file size of all uploaded attachments on the form must not exceed 15 megabytes. Does the child have an Education Health and Care Plan? Yes No EHCP named officer Do you want this application to be considered under exceptional social/medical grounds? Yes No Please upload supporting evidence If needed, you can select multiple files to upload when the File Upload window appears. To do this, hold down Ctrl and click on each file you want to upload to highlight it, and then press Open. The maximum combined file size of all uploaded attachments on the form must not exceed 15 megabytes. No information is required, please proceed to the next page. Parent/Carer details Details of Parent/Carer making this application Are you a member of a Service Crown or Crown Servant family, who is returning or moving to the address above to take up duties? Yes No Please upload supporting evidence such as an official letter with relocation date and a unit postal address or quartering area address. If needed, you can select multiple files to upload when the File Upload window appears. To do this, hold down Ctrl and click on each file you want to upload to highlight it, and then press Open. The maximum combined file size of all uploaded attachments on the form must not exceed 15 megabytes. First name Last name Relationship to child Are there any court rulings e.g. Specific Issues Order, that determines who has authority to state a preference for a school for this child? Yes No Upload a copy of the court ruling If needed, you can select multiple files to upload when the File Upload window appears. To do this, hold down Ctrl and click on each file you want to upload to highlight it, and then press Open. The maximum combined file size of all uploaded attachments on the form must not exceed 15 megabytes. Email Contact number Reason Reason for late application Attach any supporting documentation you think is necessary (optional) If needed, you can select multiple files to upload when the File Upload window appears. To do this, hold down Ctrl and click on each file you want to upload to highlight it, and then press Open. The maximum combined file size of all uploaded attachments on the form must not exceed 15 megabytes. No information is required, please proceed to the next page. Declaration By submitting this form, you agree to the following: I understand: the admissions process and I declare that the information given on this form is accurate and subject to verification. that in the event of my preferred school(s) being over-subscribed there is no guarantee that a place will be available at that school for my child. that the information provided on this form will be processed in accordance with the requirements of the Data Protection Regulations 2018. information may be shared with other admitting authorities to ensure that parents / carers do not hold on to more than one offer of a place. The information may also be shared with any organisation legitimately investigating allegations of fraud, criminal offences or child protection. Declaration agreement I understand and agree to the above Confirmation I confirm that I am the person with parental responsibility for the child named above. Date No information is required, please proceed to the next page. Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page Loading form summary...