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Dame Allan's Juniors Application Form

Application form for scholarship and entrance examination to the Junior School

Particulars of Candidate:

Surname:*
First Name(s):*
DOB (dd/mm/yyyy): / /
Gender: Boy    Girl

Name of School(s) previously attended with dates:

School: *
from: / /    to: / /
 
School:
from: / /    to: / /
 
School:
from: / /    to: / /
Does your child have any specific learning difficulties or any disability which you wish to bring to the Schools' attention?
Yes    No
If Yes, please give details:
 

Name & Address of Present School:

School:*
Address:  
 
Town / City:  
County:
Postcode:  
Name of present Head Teacher:

Please state if any other member of the family is at present attending or has attended Dame Allan's School:
Yes    No

If Yes, please give name and year

Name and Address of Parent(s) or Guardian(s):

Name:
Address:  
 
Town / City:  
County:
Postcode:  
Telephone:
Email:
Occupation:
Proposed
Admission Date: 		/ /
 

Please indicate what has influenced your decision to make this application:

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Other:

I understand that you will be seeking a report from my child's present Head Teacher and I confirm that (s)he is aware of my application to Dame Allan's
I confirm that (s)he is aware of my application to Dame Allan's

Applicants should also return to the school a REGISTRATION FEE (non-returnable) of £25.00 (cheques to be made payable to Dame Allan’s Schools).

Would you like to receive information about the schools:
Yes    No