Admissions Offer Information – completion "*" indicates required fields Step 1 of 10 10% 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 For your convenience and future reference, we have provided a link to a downloadable PDF which contains the content from the previous. Download the PDF by clicking herePDF download* I have downloaded the PDF and will keep it for reference should I need it in the future Parent/carer detailsIMPORTANT - Parental Responsibility The individual completing this form must possess parental responsibility and reside at the same address as the learner. Additionally, in cases where the learner divides their time between two homes due to parental arrangements, the person completing this form must be the primary residential parent, with the learner spending more than 50% of their time at this address.Do you have parental responsibility for the learner?* Yes, I have parental responsibility No, I do not have parental responsibility Relationship to learner*-MotherFatherCarerOtherParent/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 Other relationship* 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 HiddenUnique ID Learner Name* First Last Gender* Male Female Non-binary Transgender Intersex Other I prefer not to say What year group will the learner be joining at the academy* Year 9 Year 10 Date of birth* DD slash MM slash YYYY Date of birth* DD slash MM slash YYYY Induction Days As you are aware, this year's induction days are scheduled for:- Saturday, 16 March 2024- Saturday, 22 June 2024and that learners are expected to dress in either their current school uniform or smart business attire (trousers/skirt, a shirt/blouse, and smart shoes).Induction Day Understanding* I understand that my son/daughter should attend both induction days I understand that my son/daughter should wear their current school uniform or smart business attire I understand that trainers, jeans, combats, t-shirts, and sweatshirt/hoodies are not acceptable I understand that if my son/daughter does not meet the expectations of the academy, I agree that I will be available to pick them up Present school*-OTHER SCHOOLAbbot Beyne SchoolAbbotsholme SchoolAbby Hill CollegeAldercar High SchoolAllestree WoodlandsAlleyne's AcademyAlsager High SchoolAnthony Gell SchoolBelper School and Sixth Form CentreBemrose SchoolBiddulph High SchoolBilbrook CofE (VC) Middle SchoolBirches Head AcademyBlessed Robert Sutton Catholic Voluntary AcademyBlessed William Howard Catholic SchoolBlythe Bridge High SchoolBolsover SchoolBrookfield Community SchoolBuxton Community SchoolCannock Chase High SchoolCardinal Griffin Catholic CollegeChapel-en-le-Frith High SchoolChase Grammar SchoolChase Terrace Technology CollegeCheadle AcademyChellaston AcademyCheslyn Hay AcademyChesterton Community Sports CollegeChrist Church AcademyChurnet View Middle SchoolCity of Derby AcademyClayton Hall AcademyCodsall Community High SchoolCodsall Middle SchoolDa Vinci AcademyDavid Nieper AcademyDe Ferrers AcademyDenstone CollegeDerby Cathedral SchoolDerby GrammarDerby Grammar SchoolDerby High SchoolDerby Moor AcademyDiscovery AcademyDraycott Moor CollegeDronfield Henry Fanshawe SchoolEaton Bank AcademyEcclesbourne SchoolEckington SchoolEndon High SchoolErasmus Darwin AcademyExcel AcademyFallibroome AcademyForemarke HallFrederick Gent SchoolFriary SchoolFriesland SchoolGranville AcademyGreat Wyrley AcademyGrove School & Sixth FormHart SchoolHasland Hall Community SchoolHaywood AcademyHeanor Gate Science CollegeHeritage High SchoolHighfields SchoolHope Valley CollegeIvanhoe CollegeJames Bateman Middle SchoolJohn Flamsteed Community SchoolJohn Port Spencer AcademyJohn Taylor Free SchoolJohn Taylor High SchoolKidsgrove High SchoolKing Edward VI High SchoolKing's CofE (VA) SchoolKings KidsgroveKingsmead SchoolKinver High School and Sixth FormKirk Hallam Community AcademyLady Manners SchoolLandau Forte AcademyLeek High SchoolLees Brook Community SchoolLittleover Community SchoolLong Eaton SchoolLongdon HallMadeley High SchoolMerrill AcademyMoorside High SchoolMurray Park SchoolNether Stowe SchoolNetherthorpe SchoolNew Mills SchoolNewcastle AcademyNoel-Baker AcademyNorth Road AcademyNorton Canes High SchoolOld Vicarage Darley AbbeyOldfields Hall Middle SchoolOrmiston Ilkeston Enterprise AcademyOrmiston Meridian AcademyOrmiston Sir Stanley Matthews AcademyOunsdale High SchoolOutwood Academy NewboldPaget High SchoolPainsley Catholic CollegeParkside Community SchoolPaulet High SchoolPenkridge Middle SchoolPerton Middle SchoolPingle AcademyQueen Elizabeth's Grammar SchoolRawlett SchoolRipley AcademyRural Enterprise AcademyRyecroft CofE Middle SchoolSaint Benedict Catholic AcademySaint GregorySaint John Houghton Catholic Voluntary AcademyShirebrook AcademySir Graham Balfour High SchoolSir Thomas Boughey AcademySt Dominic's Priory SchoolSt Edward's Church of England AcademySt John Fisher Catholic CollegeSt Joseph Academy, Trent valeSt Mary's Catholic High School, A Catholic Voluntary AcademySt Peter’s AcademySt Philip Howard Catholic Voluntary AcademySt Thomas More Catholic Voluntary AcademyStafford Manor High SchoolStaffordshire University AcademySwanwick Hall SchoolTamworth Enterprise College and AET AcademyThistley Hough AcademyThomas Alleyne's High SchoolTibshelf Community SchoolTrentham AcademyWalton High SchoolWalton Priory Middle SchoolWest Park Community SchoolWeston Road AcademyWestwood CollegeWhittington Green SchoolWilliam Allitt SchoolWilnecote SchoolWilsthorpe SchoolWindsor Park CE Middle SchoolWolgarston High SchoolWolstanton High AcademyWoodhouse AcademyOTHEROther school* IMPORTANT To ensure we fully understand your son's/daughter's past behaviour and confirm that our academy is the right environment for them, we kindly ask for your full honesty. It is important to be truthful when providing details. Any inaccuracies may lead to challenges when providing appropriate support. Please note, we will verify the information provided with your son's/daughter's current school to align our support effectively.Providing accurate information* I have read and agree to the above statement on providing accurate information I understand that The JCB Academy may contact my son's/daughter's current school to verify Has your son/daughter had behaviour issues in the past 2 years?*Issues could include detention, suspension, exclusion, etc. No, my son/daughter has not had any behaviour issues Yes, my son/daughter has had behaviour issues Behaviour Issues*Please tick all that apply Permanent Exclusion Temporary Suspension Isolation Detention Other Please provide further information on the behaviour issues.*Would you like to discuss your son's /daughter's behaviour with the academy's Principal?* Yes, I would like to discuss this with the Principal No, I would not like to discuss this with the Principal I do not feel that this is applicable at this stage TransportDoes the learner require academy transport?* Yes No Please note: Over the course of the year it is at times necessary to send learners home earlier than the scheduled finish time for the day. On these occasions, the buses depart early to facilitate a range of activities at the academy.Early finish* I have read and I understand the early finish statement How will the learner travel to/from the academy?*Bus Route SelectionPlease note:Bus times and routes are reviewed annually and are subject to change. It is the academy policy that we operate buses from main towns and cities within the catchment area, stopping at a small number of points along the route to accommodate learners from a wide area. As a regional academy with a large catchment area we are unable to pick up at every village or suburb within the region.I understand* Continue Which 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 - Draycott in the clay, Station RoadAshbourne - Market PlaceAshbourne - Old Station, AlsopAshbourne - Sudbury Village, near Sudbury HallAshbourne - Waterside (at Road Bus Stop on return)Burton-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 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 - 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 - Duffield Rd, Broadway PubDerby - Etwall, Spread EagleDerby - Findern Village, The GreenDerby - Full Street, opp.Police StationDerby - Hatton, Salt Box near Petrol StationDerby - Hilton Cars, The Mease (following this route to Derby Road)Derby - Hilton, Old TalbotDerby - Littleover SchoolDerby - Littleover, Rykneld RdDerby - Mackworth, Prince Charles AveDerby - Mickleover Ambulance StationDerby - Mickleover, All Saints Court, Etwall RdDerby - Mickleover, Great Northern InnDerby - Hillsway, Derby High SchoolDerby - Willington Green ManDerby - Repton, The CrossDerby - Newdigate Street, Sinfin LaneDerby - Wordsworth Avenue, opp TexacoDerby - Blagreaves Lane, outside LibraryLeek*-Leek - Ashbourne Rd, Moorlands Hospital Bus StopLeek - Broad Street, Near HalfordsLeek - Prince Street / Buxton RoadLeek - Bottomhouse CrossroadsRugeley*-Rugeley - A513, Opp Ash Tree PHRugeley - Abbots Bromley - Goose Lane/Bagot StreetRugeley - Armitage Road, Lea Hall LaneRugeley - Blithbury, Bull & Spectacles Public HouseRugeley - Hill RidwareRugeley - The Green, HandsacreRugeley - Western Springs Road (opp Esso/nr Green Lane/nr footbridge)Stafford*-Stafford - HospitalStafford - A34 side of roundabout, opp Crab LaneStafford - Beaconside University (pull in on A518)Stafford - Railway StationStafford - Stone Road, Tesco ExpressStafford - Weston, Stafford Road Bus Stop opp Post OfficeStafford - A518, Weston Road, Metropolitan Public HouseStafford - Little Haywood, The Lamb & FlagStafford - 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 - Blakeley Lane, at Jnct A52Stoke-on-Trent - Blythe Bridge, John Rice MotorsStoke-on-Trent - Blythe Bridge, Uttoxeter Rd opp Nat West BankStoke-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 - 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 - Grindley Lane/Farnborough RoadStoke-on-Trent - Hanley, Stafford Street – Birch TerraceStoke-on-Trent - Hanley, Lichfield Street, Leek Road StopStoke-on-Trent - Kingsley - end of Holt LaneStoke-on-Trent - Kingsley Holt - Blacksmith Arms P/HStoke-on-Trent - Maybank Traffic LightsStoke-on-Trent - Meir Heath Bus Stop, top of Grindley LaneStoke-on-Trent - Meir, Broadway Fish Bar, Sandon RoadStoke-on-Trent - Newcastle - Brampton Road/Sidmouth Ave junction bus stopStoke-on-Trent - Nr to Holly Bush/Opp Stockton Brook Post Office (pm)Stoke-on-Trent - Opposite Old Trentham EntranceStoke-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, B&M bus stopStoke-on-Trent - Trent Vale, Michelin bus stopStoke-on-Trent - Trentham HotelStoke-on-Trent - Trentham, opp Trentham Garden GatesStoke-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 - Whiston, Ross Rd opp The ChapelStoke-on-Trent - Cauldon LoweStoke-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 RodneySwadlincote - Midway, Inn, Burton RoadSwadlincote - Woodville, Tollgate Clock GarageUttoxeter*-Uttoxeter - Bus StationUttoxeter - Kingfisher Way – Post BoxUttoxeter - outside Three Tuns Public HouseTransport Code of ConductTransport Code of Conduct* Provide me a link so I can 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's first name* Learner's last name* Date of Birth* DD slash MM slash YYYY What year group was your son/daughter offered?* Year 9 Year 10 You are about to decline your offer to join The JCB Academy.* I understand I am declining the offer Agreements* I have read and agree with the Transport Code of Conduct I have read and agree with the Expectations I have read and agree with the Behaviour Management Policy I have read and I understand the admissions offer information I have read and agree with the Uniform Policy I have provided accurate and truthful information about my son's/daughter'spast behaviour Acceptance and Agreement* I would like to accept a place for my child. Agreements* I have read and agree with the Expectations I have read and agree with the Behaviour Management Policy I have read and agree with the Uniform Policy I have read and I understand the admissions offer information I have provided accurate and truthful information about my son's/daughter's past behaviour 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 SpreadsheetHiddenForm submitted on* CAPTCHACommentsThis field is for validation purposes and should be left unchanged.