APPLICATION FOR ADMISSION

TO A SCHOOL NURSERY CLASS

This application form is for parents applying for a nursery place at a Hackney primary school, Comet or Wentworth Nursery School.
Please read carefully the FULL guidance – admission to a school nursery guide 2018-19 at www.learningtrust.co.uk before completing
this form. Please return your completed form to the school.

1. Application for a place at __________________________________________Nursery Class

(specify school name)

2. Child’s Details

Child’s Child’s
First name Last name(s)
Child’s / /
Date of Birth Gender Boy Girl

Addresses are checked and

any nursery place offered
Child’s using a false address may be
Home withdrawn
Address
Post code:
(This must be the address where the child normally lives)
Is your child currently attending a nursery/playgroup/crèche?
Yes No If yes, please provide nursery/playgroup/crèche name
in the box

If you are applying for a free 30 hours childcare place for working parents, please
refer to the relevant section in the Admission to a School Nursery - guide parents
2018-19 at www.learningtrust.co.uk

3. Parents’/Carers’ Details

Parent/Carer (1) Title (Please circle) Mr Mrs Miss Ms

First name Last name

(Mother/ E-mail
Father/Other) address
Mobile
Home Tel no.
Tel no.

Parent/Carer (2) Title (Please circle) Mr Mrs Miss Ms

First name Last name

(Mother E-mail
/Father/Other) address
Mobile
Home Tel no.
Tel no.

Are you a new arrival to the UK if so, from which country?

Please state your Religion:

Please state your Ethnicity:

Are you an Asylum Seeker/Refugee ? Yes / No

(If yes, you will need to provide NASS number on page 2)

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5. Other information required
Is a Brother(s) or sister(s) attending this school?
1. Child’s name(s): 2. Child’s names(s):

DOB / / DOB / /

Are you requesting priority as a Teacher who is working in a Hackney primary school? Yes / No

Are there any developmental, health or physical needs (including disabilities) relating to your child which the proposed nursery should
know about Yes/No? If yes please provide/attach details.

Please continue on a separate sheet if necessary

Exceptional Medical, Social or Other Grounds
If you feel there are any exceptional medical, social or other reasons why your son/daughter should attend this nursery, please give details below.
Any case made on these grounds must be supported by written specific professional advice (eg a letter from your doctor or social worker) as to
why admission to that school, rather than any other is necessary.

Please continue on a separate sheet if necessary

6. Children in Care/Subject to a Child Protection Plan – This includes all looked after children and children who were
previously looked after, and are now subject to an adoption, residence, or special guardianship order.
Is this child Looked After by a Local Authority Is this child subject to a
If yes, please complete below: Child Protection Plan (CPP)?
Local authority Social worker name Contact number Yes No

Parent’s/Carer’s signature Date

/ /
For office use only DATE STAMP OF RECEIPT
Receiving Officer’s name:
Proof of address attached (tick if received)

Proof of date of birth received Medical/social evidence given

Has parent registered and applied online for FSMs/EYPP

If applicable – Applicant has /will provide Unique code and national insurance
number for free 30 hour (full-time) place eligibility
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Hackney Learning Trust – Application for Admission
to a Hackney Nursery School / Primary School
Nursery Class

GUIDANCE NOTES FOR PARENTS WHO ARE APPLYING FOR A NURSERY PLACE IN A PRIMARY SCHOOL FOR 2018/19

If you want a nursery place for your child, you need to complete this form and send to your preferred school.
Remember that putting your child’s name on the application list does not give you priority over other children who
might apply later.

Children aged 3 and 4 can go to nursery classes attached to primary schools or to a nursery school. The age your
child can go depends on the number of places available

Full-Time and Part-time Places

Some working parents will be eligible for a full-time place (30 hours per week). Parents who wish to be considered
for a full-time place will need to check their eligibility no earlier than 3 months before their child’s 3rd birthday. This
can be done online at www.gov.uk/childcare-calculator
Eligible parents will receive a code which must be given to the school before the closing date for applications shown
on page 3 of the nursery admission guide for parents available at
www.learningtrust.co.uk/admissions/Pages/SchoolNursery.aspx All other children will be considered for a part-
time place (15 hours per week).

In each nursery class, schools will offer 20 full-time and 12 part-time places. If all the full-time places are not taken
up, additional part-time places will be offered. If there are still vacancies remaining, parents with part-time places can
ask to top up the part-time entitlement to a full-time place.

Admissions criteria to nursery schools and nursery classes in community primary schools (Admissions criteria for
Academies, Faith and Free Schools will be different).

1. A looked after child or a child who was previously looked after but immediately after being looked
after became subject to an adoption, residence, or special guardianship order.
2. Children subject to a Child Protection Plan
3. Children with an educational, medical or social need for a nursery place.1
4. Children whose parents can take up or stay in a teaching post in one of Hackney’s schools.2
5. Children with brothers and sisters already at the school at the time of the proposed admission
(includes half and step brothers and sisters living as a family unit full-time at the same address).
6. Children living nearest to the school as measured in a straight line from their home address or their
childminder’s address using a map or website for calculating distances.3
If a tie-breaker decision is needed for priorities 1, 2, 3, 4 and 5, distance as measured in priority 6 above will
be used.

Explanation for Criteria

1
This applies to the nearest school unless your child’s need justifies a place at a particular school.
Headteachers can take into account educational or medical needs such as developmental, speech and language
delay or physical needs. The school will need to see evidence of this from a doctor, hospital consultant, health
visitor or education and child professional.
2
If you are a Hackney school teacher, you can apply for a nursery place for your child under this criterion – but there
can only be one place in each class, or two places in the case of twins. You must apply to the school where you
teach, or one that is within one mile of your place of work.
3
If your child is cared for by a childminder during the week (Monday to Friday), the school will ask to see proof of
this arrangement. The school will decide which method to use to calculate the distances for all applicants
considered under priority five above.

Completing the application form - Parent’s details

The names of all responsible adults/carers are recorded on the form for the school to approach. Please note that
when parents live separately, the application must be based on one address where the child normally lives.
Hackney Learning Trust – Application for Admission to a Hackney Nursery School or/and
Primary School Nursery Class

Documents to be accompanied with the completed application form

Enclosed an original utility bill received within the last two months as proof of address
Enclosed proof of Date of Birth
Enclosed supporting evidence, if applicable (e.g. a letter from the family doctor/hospital consultant in
support of any medical or social priority request)
The school can withdraw an offer of a place if it has been proven that false or misleading information has
been provided.
What happens if my child is not offered a place?
If your child is refused a place at a nursery, you can ask for your child to go on an application list so that a place can be
offered if a vacancy becomes available. There is no right of appeal for admission to nursery classes and nursery schools.

Applying for Free Schools Meals and Early Years Pupil Premium (EYPP)
When parents have secured a nursery place, the school can apply for additional funding to provide children with extra
resources. If you are on low income and qualify for Free School Meals the school will be able to claim the EYPP. In order
for the school to get information as to your eligibility for FSMs, you will need to register and apply online at Hackney
Citizens Portal https://ems.learningtrust.co.uk/CitizenPortal_LIVE/Account/Register

Free early years education for some two year olds

If you have a younger child aged 2 years old, you may be eligible for free 15 hours childcare or nursery place at a
participating setting or child-minder. Your earnings must be less than £16,190 or you are on benefits. To find out more
please go to our website;
https://www.learningtrust.co.uk/ChildcarePlay/Pages/FreeChildcarefor2-4yearolds.aspx

DATA PROTECTION
The London Borough of Hackney is the data controller for the purposes of the data protection Act 1998.

This mean that the London Borough of Hackney is responsible for making decisions about how your personal data will
be processed and used. Your data will be used for the purpose of nursery and school admissions, school admission
appeals, sending you questionnaires, and assessing pupils’ eligibility for various pupil benefits and services. Your data
may also be used for the purpose of safeguarding children and the detection of fraud. The information you provide will
be treated confidentially at all times.

Receipt of application: School Stamp of receipt

Your application has been received by: _______________________________

(to be signed by the Admissions officer receiving the form)

Name of Child __________________________________________________

Date of Birth ____ /_____ /_________

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