Foundation Place Application form
Please complete this first page and then ensure that the clergy/minister/pastor completes
the second page of this form. Incomplete forms will not be considered.
Parents who worship regularly (present every two weeks for over a year) at the parish church of
St. John the Evangelist Angell Town should take the form to the Priest of St. John’s to complete.
All others applicants should take the form to their clergy/minister/pastor/ faith leader to complete.
Child’s Last (surname): ___________________________________________________________
Child’s First/Christian name(s): _____________________________________________________
Date of Birth: ___________________
Gender: ______________
Religion/Christian Denomination (e.g. Anglican):________________________________________
Date and Place of Baptism (if applicable): _____________________________________________
Parent’s/carer’s full name: _________________________________________________________
Parent /Carer’s religion/denomination (if different to your child’s):
_______________________________
Home Address: _________________________________________________________________
_____________________________________________________ Postcode: ________________
Contact telephone number(s): ______________________________________________________
Name of any siblings who will be attending St. John’s Primary at time of admittance
______________________________________________________________________________
Usual place of Worship: ______________________________________________________
How long have you worshipped there? ___________ (years)
How often do you attend Services:
Fortnightly
at least once a month
less often
Please add on a separate sheet any other information you may feel is relevant to this
application in relation to the school’s admissions policy in respect of exceptional medical,
social or pastoral needs of your child that make only this school suitable for them.
Strong and relevant evidence must be provided by an appropriate professional authority
(e.g. qualified medical practitioner, education welfare officer, social worker or priest).
CLERGY/MINISTER/ PASTOR USE ONLY
The parent’s/carer’s of the child named on the front page have applied for a place at this school.
Your name has been given as a referee.
Could you please complete and return this form to the parent, as soon as possible.
I can confirm that this family are members of our church/faith community Yes
No
The parents are known to me
Yes
No
The child is known to me
Yes
No
I am satisfied the child has a Trinitarian* baptism (if applicable)
*(that is baptised in the name of the Father, Son & Holy Spirit)
Yes
No
Family’s attendance at Services
How long have the parent(s) and child attended your church/faith community? ________________
Weekly attendance
Regular attendance (at least fortnightly) Occasional attendance
If you consider there are valid reasons for non-attendance, because of illness or other reasons,
please state this below
Name of Clergy/Minister/Faith Leader: _______________________________________________
Parish/Denomination/Faith Community: ____________________________________________
Address: _______________________________________________________________________
_____________________________________ Postcode: ________________________________
Contact number: ________________________________________________________________
Church Stamp
Signature ___________________________
Date _________________