Apply Now Step 1 of 6 16% STUDENT INFORMATIONApplication for admission to Buckswood School as a:*Full BoarderDay StudentWeekly BoarderApplication for an academyFootballRugbyGolfEquestrianNetball (Girls)Futsal (Girls)Nationality*First Language*Date of Birth* Student Phone*Student Email* Place of Birth*Country*Student's Surname / Family Name*First Name*Middle NamePlease select gender*MaleFemaleCurrent School*Current Academic Course*Expected Start Date*Expected length stay*Academic Course*JuniorGCSEIGGCSEA LevelIBUFCShort CoursesList any ESL qualifications held:*Does the child require additional help with his or her studies?*Does the student have any medical issues? If yes, please list these and the medication taken.Does the Student have any Special Education Needs? If yes, please list any Special Education Needs and support provided/needed for it.Does the Student have any Behaviour concerns? If yes, please list any Behaviour concerns and support provided/needed for it.Does the Student have any Safeguarding and Child Protection issues? If yes, please list and support needed for it. FAMILY INFORMATION Father's DetailsFathers Name*House Address*Phone Country Code:*Number:*Mobile Country Code:*Number:*Father's Email* Mother's DetailsMother's DetailsMother's Name*House Address*Phone Country Code:*Number:*Mobile Country Code:*Number:*Mother's Email* Does the child live with both parents?*YesNoWhom does he/she live?*Are the parents separated or divorced?*YesNoWho has legal custody?*Agency InformationAgency InformationHave you used an educational agency?*YesNoAgency Name*Agent Name*Agent Phone Number*Agent Email* Agent Address*To whom should all correspondence be sent?*MotherFatherAgentParents and AgentTo whom should all bills be sent?*MotherFatherAgentParents and AgentNotes regarding billing address* Additional InformationAdditional InformationWas the Child Adopted*YesNoAt what age?Does he/she know?YesNoPassport Number*Expiry Date*Visa Held?*YesNoIf yes, what type?Expiry DatePreviously refused a visa?*YesNoIf yes, why?It is a condition of entry to Buckswood School that children without a parent resident in the UK must delegate parental responsibility to a suitable local Guardian. A Guardian or Guardian Agency must be appointed before an international student enters Buckswood School, irrelevant of the age of the student. The selection of a Guardian is the parent’s responsibility. Parents who reside outside of the UK are expected to complete our Guardian Form which provides the school with full details of the Guardian before the arrival of the student to the school While a child is with his/her Guardian, the parent – not the school – is responsible for his/her welfare. Buckswood students often use St. George’s Guardians, a highly recommended local guardian company - details of which can be found here: stg-guardians.co.uk AEGIS (Association for the Education and Guardianship of International Students) can provide you with a list of reliable local guardianship agencies, as necessary. www.aegisuk.net Parents are expected to inform the school if there are any changes to any details relating to the Guardian. Do you wish to use St. George’s Guardians scheme?*YesNoIf no, AEGIS (Association for the Education and Guardianship of International Students) can provide you with a list of reliable local guardianship agencies, as necessary. Parents will provide the school with full detail of the guardian that they have appointed before the arrival of the student to the school. All APPLICANTS TO COMPLETE (I have read and agree to the Terms and Conditions on the Buckswood website)I have read and agree to the Terms and Conditions- Father's SignatureI have read and agree to the Terms and Conditions- Mother's Signature EMERGENCY CONTACTS Please list in order of priority your emergency contacts from 1 to 5 (Number 1 being the first priority)Emergency Contact 1*MotherFatherAgentGuardianOtherPlease do not choose the same answer for emergency contacts.Emergency Contact 2*MotherFatherAgentGuardianOtherPlease do not choose the same answer for emergency contacts.Emergency Contact 3*MotherFatherAgentGuardianOtherPlease do not choose the same answer for emergency contacts.Emergency Contact 4*MotherFatherAgentGuardianOtherPlease do not choose the same answer for emergency contacts.Emergency Contact 5*MotherFatherAgentGuardianOtherPlease do not choose the same answer for emergency contacts.Notes if other, please provide: Name and Surname, relation with student, phone, email and address* Data SecurityIf you grant us permission to share your child's data with your named guardian and/or the named individual within your agency, in line with our T&C's, please complete the below. Do you give permission for this data to be given?*I grant permission to share my child's data with the named guardian and/or the named individual within the agencyI do NOT grant permission to share my child's data with the named guardian and/or the named individual within the agencyName of the Pupil* First Last Age of the student*Under 13 years old13 Years old or overEmail address of named guardian or individual within your agency* Student Signature (13 or over)*Parent/Guardian Signature*Date Signed* Captcha
