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Home Schooling Application Form

To apply for home schooling, please complete the application below:

Application Form

Please take a moment to fill out the form.

Student Details

First Name

Middle Name (if applicable)

Last Name

Student Email (for Google Classroom)

Date of Birth * required

Gender *

Male

Female

Home Address

Which year group are you entering?

Year 7 or 8 (KS3)

Year 9, 10 or 11 (KS4)

Year 12 or 13 (KS5)

Previous School Name:

Previous School Address

Leaving Date of Previous School

Health

Other Agencies

Father's Contact Details

Father's Name

Father's Email

Father's Mobile

Mother's Contact Details

Mother's Name

Mother's Email

Mother's Mobile

Emergency Contact Details

Emergency Contact's Name

Emergency Contact's Email

Emergency Contact's Mobile

Photo ID

Upload Photo ID

Upload File

Upload supported file (Max 15MB)

Thanks for submitting!

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