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Loughborough Amherst School

This form is for Loughborough Amherst School applications. Please note, a non-refundable registration fee is required when filling out this form.

Please complete and submit the form below. Fields marked * are mandatory. If you wish to apply for more than one candidate please complete the form again.

If you have any questions, please call us on +44 (0) 1509 638280 or email amherst.admissions@lsf.org

Candidate's Details

Legal Surname*

Legal Forename(s)*

Preferred Forename/Known As

Date of Birth*

Nationality*

First Language*

Year of Entry*

Current Year Group (If applicable)*

Gender

Boy
Girl

Names of close relatives at, or having attended, Loughborough Schools Foundation, their relationship to candidate and School attended.

Year Group Applying For (please tick)*

Year Group:

Additional Comments

Current School/Nursery

Name of current School/Nursery*

Name of Head/Nursery Manager*

Address of School/Nursery*

Postcode*

Email Address of School/Nursery*

Date joined current School/Nursery*

Parent/Legal Guardian Details

Parent Legal/Guardian 1

Title*

Forename(s)*

Surname*

Relationship to candidate*

Address*

Street Address Address Line 2 City County Postcode

Home Phone*

Mobile Phone

Email Address*

Occupation*

Employer*

Add additional parent/legal guardian?

Yes

Parent Legal/Guardian 2

Title*

Forename(s)*

Surname*

Relationship to candidate*

Is your address the same as above?

Yes

Address*

Street Address Address Line 2 City County Postcode

Home Phone*

Mobile Phone

Email Address*

Occupation*

Employer*

Where parents have separated or divorced, please state with which parent the candidate resides.

Entrance Assessment Access Arrangements

A candidate who is eligible may be given an appropriate adjustment in relation to entrance assessments, subject to documentary evidence being provided.

Therefore, if the candidate has had a specialist assessment diagnosing a learning difficulty or disability, for example an educational psychologist’s report, medical report, occupational therapist’s report, please give brief details on a separate sheet and attach a copy of the most recent report. If the candidate suffers from any medical condition or physical incapacity of which we should be aware, please give details on a separate sheet and attach a copy of the most recent report.

Please indicate here if you wish to discuss further.

Yes

If you wish to attach any documentation you may do so here.

Drop files here or

Accepted file types: jpg, png, doc, docx, Max. file size: 1 MB.

If the candidate has had a specialist assessment diagnosing a learning difficulty or disability, for example an educational psychologist's report, medical report, occupational therapist's report, please give brief details on a separate sheet and attach a copy of the most recent report. If the candidate suffers from any medical or physical incapacity of which we should be aware, please give details below.

Medical or physical condition

Scholarships

Applications for Music Scholarships should be submitted to the Registrar by 12:00 on Thursday 13 January 2022. Further details are available on www.lsf.org/amherst/admissions/scholarships. Music Scholarship auditions are held around the time of the academic entrance examination.

Please indicate here if you intend applying for a Music Scholarship.

Yes

School Assisted Places (SAPS) and Assisted Scholarships

The Foundation has funds available to provide financial support towards the tuition fees for those on low incomes.

We offer a small number of Assisted Scholarship places to pupils joining us in Years 7, 8, 9 and 10. Scholarship offers are based on the combined information gathered from assessment scores, family income and a formal interview with the pupil.

Parents/Legal Guardians who indicate on this form that they wish to be considered for means tested financial support will be sent a Statement of Financial Circumstances Form which must be completed and returned together with the relevant supporting documentation by 30 November preceding the entrance assessment. It is not possible to consider late applicants for means tested financial support as the funds available are allocated in January. The award verification process will include a home visit.

I have read and understood the above and wish to apply for a means tested Foundation School Assisted Place.

Yes

I have read and understood the above and wish to apply for a means tested Assisted Scholarship.

Yes

Further Details

Please use this space to provide any further details relative to any matter about which you feel we should be aware.

Data Protection

I understand that information from this form may be processed for purposes by Loughborough Schools Foundation under the Data Protection Act 2018 and that individuals have, on written request, the right of access to personal data held about them. For the purposes of compliance with the Data Protection Act 2018, I hereby give my consent to Loughborough Schools Foundation to process the personal and sensitive data supplied in the Registration Form for the purposes of administering its lists of prospective pupils.*

Please tick here to show you have read and understood the above.

Registration Fee

£50 for entry to Reception up to Year 6

£100 for entry in to Year 7 or above.

Payment can be made either by bank transfer using the following details or by cheque (payable to Loughborough Schools Foundation):

Loughborough Schools Foundation
Current a/c no. 08171610 Sort Code 601410
IBAN: GB86 NWBK 6014 1008 1716 10
SWIFT CODE: NWBK GB 2L
Reference: ASRF and candidate's surname

Bank Transfer

I have paid by bank transfer

Date payment was made

Cheque

I have paid by cheque

Date cheque was sent or delivered to school

Hidden

School email

Hidden

School telephone

Please verify

The Loughborough
Schools Foundation

The Loughborough Schools Foundation

How could The Foundation benefit me?

Search for:

The Loughborough
Schools Foundations

The Loughborough Schools Foundations

How Does The Foundation benefit me?

Loughborough Amherst School

Candidate's Details

Year Group Applying For (please tick)*

Current School/Nursery

Parent/Legal Guardian Details

Entrance Assessment Access Arrangements

Scholarships

School Assisted Places (SAPS) and Assisted Scholarships

Further Details

Data Protection

Registration Fee