Date Required For Entry
Proposed Month of Entry
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Proposed Year of Entry
Senior School (ages 11 to 16 years)
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Schools attended during past two years
Please tick if you give consent for us to take up a reference on receipt of this application form.
Special Educational Needs (SEN)
Allergies or health problems
If yes, kindly supply further details. Contact Preferences
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I agree that the information I have provided is accurate at the time of application.
All applications for 11+ are automatically considered for academic scholarship based on entrance examination results. Bishop Challoner offers scholarships in various subjects. Please tick if you are interested in being considered for any of the following:
If you have indicated that you would like your child to be considered for a scholarship, we will contact you with further details during thr admissions process regarding the assessment. Please note: scholarships may be subject to change. If your child is not offered a place, or if you do not accept the offer of a place, we will only retain this information for as long as we need to. Unless there are exceptional circumstances, information is kept for a year after the end of the admissions process. For more information about how Bishop Challoner will use your information, and your child's information, please see our parent and pupil privacy notices. These documents are published at www.bishopchallonerschool.com If your child is aged 12 years or older please show them a copy of the pupil privacy notice and discuss it with them.
Source of introduction to school
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Source of introduction detail
* Denotes a required field We will acknowledge receipt of your application by email and send reference requests (if you have indicated permission to do so on this form). You will then be contacted with details of interview and/or assessment.