NOTICE OF APPEAL
I wish to appeal against the decision not to provide education for my child at the Chadwell
Heath Academy.
Child’s Full Name
Date of Birth
Boy
Girl
Present School attended
Please state the Year Group Year 7
applied for:
Have You been offered a place at
any other school? If Yes, please
name the School.
Year 8
Year 9
Year 10
Year 11
Parents’ names
Home address (See Note 2)
Post Code
Home Telephone No.
Work Telephone No.
Mobile Telephone No.
When did you move to this
address?
Email address
Representation (see Note 3)
(*Delete as appropriate)
1. I/We* wish to attend the appeal to make oral representations.
2. I/We* agree to my appeal being heard by the panel on written representations.
3. I/We* agree to less than 14 days’ notice of the appeal hearing (if applicable).
4. I/We* will bring an interpreter to the hearing.
5. Please contact us if you have any special needs of which we should be aware.
Yes
Yes
Yes
Yes
Chadwell Heath Academy a company limited by guarantee, registered in England with number 7346826
No
No
No
No
Grounds of Appeal
If there is not enough space on this sheet please continue on another sheet
concluding with your signature(s) and the date.
The grounds of appeal are:
Signed ........................................................................................
Date
………................
Please return the completed form to the Clerk to the Independent Appeal Panel c/o Educationappeals
Dotcom Ltd (EdAp), 4 Tolmers Gardens, Cuffley, Herts, EN5 6JE.
Chadwell Heath Academy a company limited by guarantee, registered in England with number 7346826