Admissions Offer Information – completion "*" indicates required fields Step 1 of 14 0% InstagramThis field is for validation purposes and should be left unchanged.Acceptance* Yes, I would like to ACCEPT the offer for my son/daughter to join The JCB Academy No, after consideration I would like to DECLINE the offer for my son/daughter Unique ID*Important Information We understand that your initial application may have been completed several weeks ago, and circumstances can change. Therefore, when completing the form, we kindly ask that you ensure that all the information is accurate and up to date, as any false or misleading information may impact the application process. The information submitted may be verified with your current school to ensure we have the most accurate and relevant details. Our aim is to ensure a smooth and effective transition to The JCB Academy and create the best possible learning environment for every learner. By providing accurate and up-to-date information, we can ensure that the right measures are in place to support a positive start. The more precise and complete the information we receive, the better, and we can then work with relevant organisations to provide the right support if required.I understand* the above statement, and I agree to submit accurate and up to date information Parent/carer detailsImportant Information The person completing this form must have Parental Responsibility If you are unsure whether you have Parental Responsibility, please click here (opens a new window)Do you have Parental Responsibility?* I can confirm that I do have Parental Responsibility Your relationship to the learner*-MotherFather (biological)CarerOtherOther relationship*Parent/Carer* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last IMPORTANT It is extremely important that you input an accurate email address below. This email will be used for further instructions and communication throughout the admissions process.Email* Enter Email Confirm Email Select Your Local Authority*Please selectDerbyshire County CouncilDerby City CouncilStaffordshire County CouncilStoke-on-Trent City Council Learner detailsIMPORTANT It is extremely important that you input the name exactly as it appears on your 'Offer' email/letter.I understand that* I need to input my son/daughter's name exactly as it appears on the 'Offer' email/letter Learner Name* First Last Gender as Specified on Birth Certificate* Male Female Date of birth* DD slash MM slash YYYY What was the main reason for applying to The JCB Academy?* I am interested in Engineering I am interested in Business A pathway into an apprenticeship Something different from my previous school Other Other reason* At The JCB Academy, our aim is to ensure that all learners have the best possible environment to succeed. The following questions are intended to help us identify if any additional support may be needed. Therefore, by understanding any past experiences or specific needs, we can provide the appropriate resources and guidance to help your son/daughter thrive. Please note that this will not impact your application in anyway. However, providing false information may be considered fraudulent and could affect the outcome of the application.Above Statement* I have read and I understand the above statement Behaviour Policy* I understand that I am required to read the Behaviour Policy Read the Behaviour Policy by clicking here.Behaviour Policy* I have read and I understand the Behaviour Policy Tick ALL that apply* My son/daughter has previously received a detention at school My son/daughter has previously been suspended from school My son/daughter has had periods of absence and/or several separate days off My son/daughter is currently at risk of permanent exclusion My son/daughter has previously been excluded from school My son/daughter has a Special Educational Disability Need (SEND) None of the above apply to my son/daughter Please provide further details of the periods of absence* TransportDoes the learner require academy transport?* Yes No How will the learner travel to/from the academy?* They are within walking distance and will walk to and from the academy I will drop off and pick up the learner Other Please be aware that all learners, unless within walking distance, travel to and from the academy on one of our 14 dedicated buses. We do not encourage parents to drop off and pick up unless you have agreed with the admissions teams. We will contact you to discuss this request.Other travel to/from the academy?* You will soon be asked to confirm the distance between your home and the academy. This is calculated using an online tool that measures the distance between two postcodes—your home address and The JCB Academy. The distance you provide will determine the cost of your transport service.I understand* the importance of submitting the distance accurately the distance will determine the cost of the transport service The following page will contain a link that will open in a separate window. Therefore, once you have confirmed your mileage, please return back to this page.I understand* when I click the link it will open in a new window The JCB Academy postcode is: ST14 5JX Click here to check the distanceThe 'FLIGHT' mileage from my home postcode to ST14 5JX is:*I confirm that I have* Used the academy's postcode of ST14 5JX Used my home postcode entered the 'FLIGHT' mileage and NOT 'Driving' mileage or kilometers (km) Bus Route SelectionWhich area will you be travelling from?*-AshbourneBurton-on-TrentDerbyLeekRugeleyStaffordStoke-on-TrentStoneSwadlincoteUttoxeterPlease select the most appropriate pick-up/drop-off point from the route listings belowAshbourne*-Ashbourne - Hartington Bus Stop (PM only)Ashbourne - A515 Newhaven Petrol StationAshbourne - Old Station, AlsopAshbourne - Park RoadAshbourne - Sudbury Village (nr Sudbury Hall)Ashbourne - Waterside (at Road Bus Stop on return)Ashbourne - Doveridge Football Club, Derby RdBurton-on-Trent*-Burton-on-Trent - Alrewas, A513/Fox Lane junctionBurton-on-Trent - Bearwood Hill Road (top of hill near Church)Burton-on-Trent - Branston, Branston Rd/Oyster CloseBurton-on-Trent - Branston, Uniform Shop, Wellington StreetBurton-on-Trent - Branston CourtBurton-on-Trent - Burton Road, Regents Park RoadBurton-on-Trent - Burton AlbionBurton-on-Trent - Burton Bridge Lay ByBurton-on-Trent - Chesterfield Arms, A511Burton-on-Trent - Hawkins Lane, outside Fish HutBurton-on-Trent - Horninglow Rd, Victoria CrescentBurton-on-Trent - Kings Bromley, A513Burton-on-Trent - Orgreave, A513Burton-on-Trent - Rolleston Road opp St John ChurchBurton-on-Trent - Harehedge Lane, SchoolBurton-on-Trent - Stapenhill, St Peters BridgeBurton-on-Trent - Station Rd, junction Efflinch Lane, Barton-under-NeedwoodBurton-on-Trent - Stretton, Church St/Co-opBurton-on-Trent - Tutbury, top of Burton RoadBurton-on-Trent - Draycott in the Clay, Station RoadBurton-on-Trent - Union St outside SainsburysBurton-on-Trent - Winshill, Hawfield Lane topBurton-on-Trent - Stapenhill Road, CemeteryDerby*-Derby - Allenton, Osmaston Park Rd (Spider end)Derby - Allestree, Shell StnDerby - Alvaston, Harvey Rd (Blue Peter end)Derby - Centre, Full Street, opp. Police StationDerby - Darely Abbey, Duffield Rd, Broadway PubDerby - Etwall, Spread EagleDerby - Findern Village, The GreenDerby - Hatton, Salt Box near Petrol StationDerby - Hilton, The Mease, Hilton Car GarageDerby - Hilton, Old TalbotDerby - Hillsway, Derby High SchoolDerby - Littleover SchoolDerby - Littleover, Blagreaves Lane, outside libraryDerby - Littleover, Rykneld RdDerby - Mackworth, Prince Charles AveDerby - Mason Arms, Etwall RdDerby - Mickleover Ambulance StationDerby - Mickleover, Great Northern InnDerby - Repton, The CrossDerby - Ticknall, Church LaneDerby - Willington Green ManDerby - Wordsworth Avenue, opp TexacoLeek*-Leek - Barnfields, Wallbridge DriveLeek - Bus StationLeek - Ashbourne Rd, Moorlands Hospital Bus StopLeek - Prince Street / Buxton RoadLeek - Bottomhouse CrossroadsRugeley*-Rugeley - A513, Opp Ash Tree PHRugeley - Abbots Bromley - Goose Lane/Bagot StreetRugeley - Armitage Road, Lea Hall LaneRugeley - Ash Tree Inn, Rugeley RoadRugeley - Blithbury, Bull & Spectacles Public HouseRugeley - Hill RidwareRugeley - Western Springs Road (opp Esso/nr Green Lane/nr footbridge)Stafford*-Stafford - Opposite Pets at Home A34Stafford - HospitalStafford - A34 side of roundabout, opp Crab LaneStafford - Beaconside University (pull in on A518)Stafford - PrimarkStafford - Stone Road, Tesco ExpressStafford - A518, Weston Road, Metropolitan Public HouseStafford - A518, Weston, Old School CloseStafford - Great Haywood, Clifford ArmsStafford - Hixon, New Road Bus StopStoke-on-Trent*-Stoke-on-Trent - Alton - Tythe Barn Bus StopStoke-on-Trent - Baddeley Green Bus Stop, Trentfields RoadStoke-on-Trent - Blythe Bridge, John Rice MotorsStoke-on-Trent - Brookhouse Lane, Ash Bank RoadStoke-on-Trent - Bucknall, New Finney GardensStoke-on-Trent - Cheadle - Ashbourne Rd, just past Leisure CentreStoke-on-Trent - Cheadle, opp Premier ShopStoke-on-Trent - Cheadle, Leek Rd, Council Offices Bus StopStoke-on-Trent - Stoney Lane meets Hemmingslow Lane/ EarlswayStoke-on-Trent - Cauldon Low MoorfieldsStoke-on-Trent - Checkley, Fole Dairy at pull inStoke-on-Trent - Dog & Partridge PH, Lower TeanStoke-on-Trent - Draycott Arms, DraycottStoke-on-Trent - Dresden, United Reform ChurchStoke-on-Trent - Dresden, Lennox Road Bus StopStoke-on-Trent - Endon High SchoolStoke-on-Trent - Froghall - Railway StationStoke-on-Trent - Hanley, Stafford Street – Opp WilkinsonStoke-on-Trent - Hanley, Lichfield Street, Leek Road StopStoke-on-Trent - Maybank Traffic LightsStoke-on-Trent - Meir Heath, Grindley Lane/Farnborough RoadStoke-on-Trent - Meir Heath Bus Stop, top of Grindley LaneStoke-on-Trent - Meir, Alexandra Junior SchoolStoke-on-Trent - Meir, Broadway Fish Bar, Sandon RoadStoke-on-Trent - Newcastle - Brampton Road/Sidmouth Ave junction bus stopStoke-on-Trent - Norton Lane Bus StopStoke-on-Trent - Opposite Aldi Leek Road by the Horn and TrumpetStoke-on-Trent - Stockton Brook Post OfficeStoke-on-Trent - Sandyford, High St, Newfield bus stopStoke-on-Trent - Sneyd Green, Sneyd Arms Bus StopStoke-on-Trent - Tean High Street at pull inStoke-on-Trent - Trent Vale, B&M bus stopStoke-on-Trent - Trent Vale, Michelin bus stopStoke-on-Trent - Trentham HotelStoke-on-Trent - Washerwell LaneStoke-on-Trent - Waterhouses - The George PubStoke-on-Trent - Weston Coyney, Top of Weston Coyney Road opp Carberry WayStoke-on-Trent - Weston Coyney, Weston Coyney Road, Jct of Albert AveStoke-on-Trent - Weston Heights Top of Main StreetStoke-on-Trent - Central Avenue nr Asda, Werrington RoadStone*-Stone - George & Dragon Public House, A34 / Meaford RdStone - Walton, Stafford Road, Post Office StopStone - Three Crowns, Lichfield RoadStone - A34, layby near Blundell DriveStone - Crown Street ToiletsSwadlincote*-Swadlincote - Hartshorne, Admiral Rodney, Repton RoadSwadlincote - Midway Inn, Burton RoadSwadlincote - Woodville, Tollgate Clock GarageUttoxeter*-Uttoxeter - Quee Lane junction, B5013Uttoxeter - Bus StationUttoxeter - Kingfisher Way – Post BoxUttoxeter - Fire StationTransport Code of ConductTransport Code of Conduct* I understand that I am required to read the Transport Code of Conduct Read the Transport Code of Conduct by clicking here.Transport Code of Conduct* I have read and I understand the Transport Code of Conduct Declining Your OfferLearner Name* First Last Date of Birth* DD slash MM slash YYYY Please let us know why you are declining your offer* My son/daughter does not want to leave their current school friends My son/daughter is too anxious about joining a new school The financial commitments are too much Other Other reason*You are about to decline your offer to join The JCB Academy.* I understand I am declining the offer Agreements* I understand and agree with the academy's expectations I understand the financial commitments of joining and attending the academy I have read, understand and agree with the Behaviour Management Policy I have read, understand and agree with the Uniform Policy I have provided accurate and truthful information Acceptance and Agreement* I would like to accept a place for my child. Data Protection - We take spam very seriously and any personal information we collect from this website will be used in accordance with the Data Protection Act 2018 and other applicable laws. For more information about our privacy practices please read our privacy policy for further information on how we store and use your information.Unique ID for Master SpreadsheetThis field is hidden when viewing the formForm submitted on*CAPTCHA