Supplementary Information Form for admissions in 2019

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1 ref # date received acknowledged admission year 2019 Supplementary Information Form for admissions in 2019 category distance decision Please return this form to The Registrar, Wimbledon College, Edge Hill, London SW19 4NS by 31 st October 2018 for Y7 applications. Boy s details Boy s Surname Boy s First Name(s) Boy s Home [Please refer to footnote 4, page 2 of the Wimbledon College Admissions Policy 2019] Postcode Date of Birth What school does your son currently attend? What year group is your son currently in? When would he start at Wimbledon College? Parents details Salutation Initial Surname e.g. Mr and Mrs R Smith In case we need to contact you about this application please give contact details: Home Telephone Daytime phone or mobile Who is the daytime number for?

2 Admissions criteria Please tick the admissions category which applies to your son: 1 Catholic boys in public care ( looked after children). Catholic boys who are looked after children or who were previously looked after children 2 Catholic boys who have special circumstances which, in the judgement of the governors on the evidence submitted to them, make Wimbledon College particularly suitable for the boy Catholic boys who attend Mass every Sunday and Holyday. 3 4 Catholic boys who attend Mass less frequently than every Sunday and Holyday. 4 5 Catholic boys who do not attend Mass. 5 6 Boys enrolled in the catechumenate. Evidence of enrolment in the catechumenate will be required. 6 7 Other boys who are looked after children or who were previously looked after children. 7 8 Boys who are members of Eastern Orthodox Churches. Evidence of Baptism will be required. 8 9 Boys of families who are members of other Christian denominations that are part of Churches Together in England. Evidence of Baptism (or dedication) provided by a priest or minister of a designated place of worship will be required. 10 Boys who are members of other faiths. Evidence of membership of the faith provided by a priest, minister or religious leader of a designated place of worship will be required Other boys. 11 Are you applying under the special circumstances criteria? yes no Will your son have a brother at Wimbledon College or a sister at the Ursuline High School, Wimbledon in September Name and year of brother(s): Is either of your son s parents a member of staff, where the member of staff has been employed at the school for two or more years at the time of this application for admission to the school and/or a member of staff that has been recruited to fill a vacant post for which there is a demonstrable skill shortage? Name of parent/ guardian who is a member of staff: Application I/We wish to apply for a place at Wimbledon College for our son. The information and statements we have made on this form are true and accurate. yes yes no no Signed (mother) Date Signed (father) Date

3 Supplementary Information Form Checklist Please make sure you include the following with your application: Baptismal certificate (for Catholic applicants) The religious practice and priest s reference form (for Catholic applicants) A stamped self-addressed envelope (if you wish to receive acknowledgement of receipt of your application) If you are applying under special circumstances you must enclose a letter of explanation and at least one letter of support from a professional person competent to comment on those circumstances (see the Admissions Policy for more details)

4 Religious Practice and Priest s Reference Form for admissions in 2019 This form must be completed for all applicants who wish to have their applications considered under the baptised and practising Catholic criteria. This part of the application form is for you to state your son s religious practice if he is a Catholic. When you have completed your part of the form you should return it to Wimbledon College. We will then send it to the priest you name. Boy s Name Home Telephone Parent s Mobile Current School Home Parish Name of parish or church where boy regularly worships [Please state if he has more than one] Parents Names Is your son a baptised Catholic? Does your son attend Mass on Sundays and Holydays of Obligation? Yes No Yes, every Sunday and Holyday Yes, but less frequently than every Sunday and Holyday No If there is some serious reason why your son is unable to attend Mass on Sundays and Holydays, you are invited to explain the circumstances:

5 Please give the name and address of a priest of the place where your son usually worships: Priest s Name Parish or Chaplaincy Boy s Name Please now return this form to Wimbledon College and we will send it to the priest you have nominated for completion. The admissions policy for Wimbledon College gives priority to baptised Catholic boys who attend Mass every Sunday and Holyday, followed by those who attend less frequently. It is very important that your statement about this applicant s attendance is reliable. Please only complete this form if you are, with confidence, able to confirm the boy s practice over a substantial length of time. Is this child well enough known to you such that you are able to make a judgement about his attendance at Mass? Please confirm the practice of this boy: Yes No He attends Mass every Sunday and Holyday He attends Mass less frequently than every Sunday and Holyday He does not attend Mass If there is anything further you wish to add which would explain or clarify the boy s religious affiliation or practice, please do so below: Priest s Signature: Date: Priest s Name: Parish: Please include the Parish Stamp/Seal Please return this form to The Registrar, Wimbledon College, Edge Hill, London SW19 4NS Thank you.

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