Application for years 7 to 10

Loughborough High School

This form is for applications to Loughborough High School. Please note, your application will be processed as soon as we receive this form and your non-refundable registration fee (see details below).

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 212348 or email high.admissions@lsf.org

Candidate's Details

Legal Surname*

Legal Forename(s)*

Preferred Forename/Known As

Date of Birth*

Nationality*

Is English the candidates first language*

Yes
No

First Language*

Please note any previous experience in learning a Modern Foreign Language as well as how many years your child has studied each language.

English Language – Level of Attainment

IELTS

TRF Certificate No.

CEFR

Other

School Year

Year of Entry*

Current Year Group*

Year Group Applying For (please tick)*

Year 7
Year 8
Year 9
Year 10

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

Additional Comments

Current School

Name of current School*

Name of Head*

Address of School*

Postcode*

Email Address*

Date joined current School*

The High School would like to contact your child’s current school for a reference. Please indicate by ticking one of the boxes below, if you give consent to this.*

Yes
No

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*

Please click here to add details of second 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.

Medical details

Please provide details of any medication your child requires, disability, medical condition or allergies your child has, or may have, of which the School should be made aware.

Learning Support / SEN needs

Please provide details of any learning support / SEN needs e.g dyslexia, dyspraxia, ADD, ADHD, Autistic spectrum disorder (including Asperger's Syndrome) or if your child is being assessed for any of these conditions.

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

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.

Drop files here or

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

Entrance Assessment Access Arrangements

A candidate who is eligible may be given 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 provide details in the boxes above 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 provide details in the Medical Details box above.

Please indicate here if you wish to discuss further.

Yes

Scholarships

Scholarships may be awarded for excellent academic performance.

Music Scholarships may be awarded. Further details are available from the Registrar

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

Yes

School Assisted Places (SAPS)

The Foundation has funds available to provide financial support towards the tuition fees for those on low incomes. 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 31 October. 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

Further Details

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

Registration Fee £100 per candidate

Payment options:

Payment can be made either by Bank Transfer using the details below, by Cheque (payable to Loughborough Schools Foundation) or click to pay by Credit Card:

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

I have made payment by:

Bank Transfer
Cheque
Credit Card

Date payment was sent / made

Hidden

School email

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, in completing and submitting this form 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.

Please verify

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The Loughborough Schools Foundation

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Apply Years 7-10

Loughborough High School

Candidate's Details

English Language – Level of Attainment

School Year

Current School

Parent/Legal Guardian Details

Entrance Assessment Access Arrangements

Scholarships

School Assisted Places (SAPS)

Further Details

Registration Fee £100 per candidate

Data Protection