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Humber UTC Admission Form
for a Year 10 place, September 2015
www.humberutc.co.uk
In partnership with Tata Steel UK and Centrica Storage
Humber UTC Admissions Process
for a Year 10 place, September 2015
www.humberutc.co.uk
Has the
application
been
submitted by
23 March
Student application
for Year 10
admission, 2015
yes
Application is
admitted and firm
offer
communicated by
30 March 2015
no
All unsuccessful
applicants have the
right to appeal to an
Independent
Admissions Appeal
Panel within 20 days of
the rejection letter.
Application
unsuccessful**
Student is automatically
put onto a Waiting List
and will operate until the
end of the first term
(December 2015)
Are there
more than 150
applications,
leading to over
subscription?
All applications are
admitted and firm
offers of places
communicated by
31 March 2015
yes
yes
no
no
no
Does the student
have a statement
of Special
Educational
Needs or an
Educational,
Has the student
been allocated a
place as
determined by the
random
admission
yes
Application is
admitted and firm
offer
communicated by
31 March 2015
yes
Application is
admitted and firm
offer
communicated by
31 March 2015
no
no
* Late applications accepted if
places remain
** If places are still available,
application will be accepted
Has the student
been allocated a
place as according
to the need for a
‘fresh’ random
yes
Application is admitted
and firm offer
communicated by 31
March 2015
A random admission
process will determine
admission for remaining
students. Recruitment is at
60 % from North
Lincolnshire, 30% from
North East Lincolnshire
and 10% from other
locations, e.g. Hull,
Doncaster, Goole.
no
Is the student a
looked-after
child or a child
who was
previously
Humber UTC Admissions Form
for a Year 10 place, September 2015
www.humberutc.co.uk
You need only complete this form if you have NOT applied online.
Please complete in black ink and return the form by 23 March 2015 to The Principal, Humber UTC,
Civic Centre, Ashby Road, Scunthorpe, North Lincolnshire, DN16 1AB. You should expect a letter of
receipt by 30 March 2015.
Where more than one person shares parental responsibility, only one application should be submitted for
any child. Please make sure you include all information you believe is relevant to your application.
You must sign the declaration to confirm that all information given on this form is correct and true (see
section C).
SECTION A - YOUR CHILD
First
Name
Legal
Surname
Date of Birth: dd/mm/yy
Gender
Home Address
(This must where the child
normally lives)
Current attending school
PARTICULAR CIRCUMSTANCES OF YOUR CHILD
Pl
Please tick this box only if your child has a statement of special educational needs
(this refers only to children who have been issued with a statement by the Local Authority)
Please tick this box only if your child is in the care of the Local Authority
and name the Local Authority …………………………………………………………………..
Please tick this box only if your child was previously looked after but ceased to be
looked after because they became subject to an adoption, residence, or special
guardianship order (please submit supporting documentary evidence)
SECTION B- PARENT/CARERS DETAILS
I am the parent/carer of the above child (please print your full name in BLOCK CAPITALS)
Title
First
Name
Surname
Relationship e.g. Mother Father, Carer/Other Please Specify
Address (if different
from above)
Home
Phone
Work
Phone
Mobile
Email
How did you find out about Humber UTC?
SECTION C - DECLARATION
Name of person completing form (please print in BLOCK CAPITALS)
Title ……………. First Name ……………………………….. Surname ………………………………………
Signed…………………………………………. Date …………………
I DECLARE THAT ALL THE INFORMATION I HAVE GIVEN IS CORRECT. I UNDERSTAND
THAT FALSE INFORMATION MAY RESULT IN MY CHILD LOSING HIS/HER SCHOOL PLACE
AT HUMBER UTC.
Data protection We need the information we are asking for so that we can consider your request for your child to be admitted to a school.
This information is recorded on a computer system and may be shared with other agencies that are involved in the
admissions process or the health and welfare of school children. Any processing of information will be done in accordance
with the Data Protection Act 1998. If you have any questions contact the Admissions Team on 01724 297993
9180(1)