Application – Additional Information "*" indicates required fields Step 1 of 4 25% AgreementFalse or Misleading Information* I understand that giving false information may be considered fraud and could impact the outcome of my application. Learner's DetailsLearner's Name* First Middle Last Learner's Date of birth* DD slash MM slash YYYY 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 determine whether our academy is the most suitable place for your son or daughter, and to identify any additional support that may be needed. 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 any information you provide will not impact your application in anyway. However, providing false information may be considered fraudulent and could affect the outcome of the application.Please tick which apply to you* My son/daughter has previously received a detention at school My son/daughter has previously been suspended from school 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 Agreement* I agree to the above statement and confirm the details I have supplied are accurate and true Details of person completing this formParent/Carer Name Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Relationship to child*-MotherFatherCarerContact telephone number*Email* Enter Email Confirm Email CAPTCHAData Protection: I understand that the information provided is subject to the provision of the Data Protection Act 2018 and may also be shared with members of an independent appeals panel if necessary. 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.NameThis field is for validation purposes and should be left unchanged.
