Admissions Offer Information – completion "*" indicates required fields Step 1 of 8 0% 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 Parent/carer detailsIMPORTANT - Parental Responsibility The individual completing this form must be: named on the learner's birth certificate (has parental responsibility) 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. This individual will be registered in the school’s database as the principal contact for the learner. Is your name on the learner's birth certificate (has Parental Responsibility)* I can confirm that I am named on the birth certificate of the learner 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 This field is hidden when viewing the formUnique IDLearner Name* First Last Gender as Specified on Birth Certificate* Male Female Date of birth* DD slash MM slash YYYY Induction Days This year's induction days are scheduled for:- Saturday, 5 April 2025- Saturday, 21 June 2025PLEASE NOTE: Learners are expected to dress in either their current school uniform or smart business attire (trousers/skirt, a shirt/blouse, and smart shoes). Further details of the induction days will be communicated to you.Induction Day Expectations* 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 will be available to pick them up 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 - PrimarkStafford - 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 – Opp WilkinsonStoke-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 Name* First Last Date of Birth* DD slash MM slash YYYY 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 SpreadsheetThis field is hidden when viewing the formForm submitted on*CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.