PRENDERGAST – HILLY FIELDS COLLEGE
ADDITIONAL INFORMATION SHEET FOR MUSIC AND SOCIAL/MEDICAL APPLICATIONS FOR
SEPTEMBER 2015
IF YOU ARE APPLYING FOR A MUSIC PLACE - THIS ADDITIONAL INFORMATION SHEET AND PROOF OF ADDRESS MUST BE
RECEIVED AT THE COLLEGE BY TUESDAY 30TH SEPTEMBER 2014. PROOF OF ADDRESS MUST BE IN THE FORM OF
PHOTOCOPIES OF YOUR CURRENT COUNCIL TAX INVOICE AND YOUR DAUGHTER’S MEDICAL CARD.
IF YOU ARE APPLYING FOR A SOCIAL & MEDICAL PLACE THIS ADDITIONAL INFORMATION SHEET AND PROOF OF ADDRESS
MUST BE RECEIVED AT THE COLLEGE BY THE 31st OCTOBER 2014. PROOF OF ADDRESS MUST BE IN THE FORM OF
PHOTOCOPIES OF YOUR CURRENT COUNCIL TAX INVOICE AND YOUR DAUGHTER’S MEDICAL CARD.
A COMMON APPLICATION FORM (CAF), AVAILABLE FROM YOUR DAUGHTER’S PRIMARY SCHOOL, YOUR LOCAL
EDUCATION AUTHORITY, OR ON-LINE, MUST ALSO BE COMPLETED FOR YOUR DAUGHTER AND SENT TO YOUR LOCAL
EDUCATION AUTHORITY BY THE 31st OCTOBER 2013.
……………………………………………………..
I/We wish our daughter/ward to be considered for entry into Prendergast – Hilly Fields College in September 2015.
I/We understand she will be required to sit a musical aptitude test if we apply for a music place at Prendergast – Hilly
Fields College and that auditions are awarded on the basis of the results of this test.
PLEASE COMPLETE THE FOLLOWING DETAILS CLEARLY IN BLOCK CAPITALS
CHILD’S DETAILS (as recorded on the child’s Birth Certificate and the Common Application Form)
First Name: …………………………………………………………………………………………………...
Surname: …………………………………………………………………………………………………….
Date of Birth:………………………………
PARENT/GUARDIAN DETAILS (with whom the child permanently resides)
Parent/Guardian’s Name …………………………………………………………………………………..
Address: ………………………………………………………………………………….………………….
Post Code:……………………………….… Home Telephone Number: …………………………………
DECLARATION:
I/We wish to apply for a place for my/our daughter/ward at Prendergast –Hilly Fields College for admission in September
2015 using the following criteria. You may apply for more than one criterion.
Music place
YES/NO
Medical or Social grounds to be taken into consideration
Supporting evidence to be attached
YES/NO
I/We have submitted a Common Application Form (CAF) to our Local Education Authority. I understand that failure to
submit a Common Application Form (CAF) to my home LEA naming Prendergast – Hilly Fields College as one of my
preferences will render this form invalid.
I/We have enclosed proof of address.
Signed……………………………………………….(Parent/Guardian)
Date…………………………..