Application Form - Apply Now - Buckswood School

STUDENT INFORMATION
Application for admission to Buckswood School as a:*
- Full Boarder
- Day Student
- Weekly Boarder
Application for an academy
- Football
- Rugby
- Golf
- Equestrian
- Netball (Girls)
- Futsal (Girls)
Nationality*
First Language*
Date of Birth*
DD slash MM slash YYYY
Student Phone*
Student Email*
Place of Birth*
Country*
Student's Surname / Family Name*
First Name*
Middle Name
Please select gender*
- Male
- Female
Current School*
Current Academic Course*
Expected Start Date*
Expected length stay*
Academic Course*
- Junior
- Intensive English 1
- GCSE
- IGCSE
- Intensive English 2
- A Level
- IB
- UFC
- Short Courses
Your Admissions Representative at Buckswood*
- Lisa Jane Davies (UK Admissions)
- Olga Nalivkina (International Admissions)
- Cristina Terrazas (International Admissions)
- Yu Hao (Phoenix) (International Admissions)
- Kyoko Field (International Admissions)
- Sherene Zouehid (International Admissions)
- Unsure of the representative in charge
Where did you hear about us?*
List any ESL (English as Second Language) qualifications held (Cambridge Certificate (KET, PET, First, Advance), IELTS, TOEFL, Trinity College English Exam :*
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.
Unreported Medical issues, behaviour concerns and safeguarding and child protection issues: The School reserves the right to ask a parent to withdraw the pupil without being charged fees in lieu of notice if, in the opinion of the School, the School cannot provide adequately for a pupil’s needs should it become apparent that issues were not disclosed fully at the time of application.

All APPLICANTS TO COMPLETE

(I have read and agree to the Terms and Conditions on the Buckswood website)
I have read and accept the Terms and Conditions*
- Accept Terms and Conditions
https://www.buckswood.co.uk/admissions/terms-and-conditions/
I have read and agree to the Terms and Conditions- Father's Signature
I 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*
Please do not choose the same answer for emergency contacts.
Emergency Contact 2*
Please do not choose the same answer for emergency contacts.
Emergency Contact 3*
Please do not choose the same answer for emergency contacts.
Emergency Contact 4*
Please do not choose the same answer for emergency contacts.
Emergency Contact 5*
Please 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 Security
If 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? * Please be aware if you don´t grant permission, your named guardian/individual agent won´t be able to help you during the time of your child at the school as we won´t be able to share information with them: assessment and academic information, immigration information, behaviour information…and they won´t have access to SIMS or CareMonkey so they won´t be able to fill forms in your behalf.
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 agency
- I do NOT grant permission to share my child's data with the named guardian and/or the named individual within the agency
Your nominated named guardian
Email address of named guardian
Your nominated named individual within your agency
Email address of named individual within your agency
If you authorise the school to send a copy of this application form to your agency, please confirm the email address you wish us to send this to in the box below
Name of the Pupil*
First Last
Age of the student*
- Under 13 years old
- 13 Years old or over
Email address of named guardian or individual within your agency*
Student Signature (13 or over)*
Parent/Guardian Signature*
Please sign below to confirm that the information entered is correct and that you accept the Terms and conditions (https://www.buckswood.co.uk/admissions/terms-and-conditions/).
Date Signed*
DD slash MM slash YYYY
Consent*
I agree to the privacy policy.
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Step 1 of 6

STUDENT INFORMATION

FAMILY INFORMATION

Father's Details

Mother's Details

Mother's Details

Agency Information

Agency Information

Additional Information

Additional Information

All APPLICANTS TO COMPLETE

(I have read and agree to the Terms and Conditions on the Buckswood website)

EMERGENCY CONTACTS

Data Security

Further Information