Current Introduction Preview Complete You must complete all the fields unless they are optional. Should you be using this form? Please note you cannot appeal for the same school in the same academic year unless there has been a material and significant change in your circumstances since your last appeal hearing, such as a change of address. You can only appeal for schools where you applied and were refused admission. Only use this form to appeal for schools whose appeals are managed by City of Wolverhampton Council. If the school you wish to appeal for is not listed, please contact the school directly for details of their appeal arrangements. If your child has an Education, Health and Care Plan (EHCP), please contact the SEN Start Team at SENSTART@wolverhampton.gov.uk Notes on completing this form You must complete all sections of the form. You must set out your reasons for wanting a place for your child at a particular school so that the independent panel can consider the strength of your case. If your appeal is due to your child's medical condition, you are encouraged to attach evidence of this to your appeal form, such as a consultant's letter from the hospital. If your appeal is due to social reasons such as domestic violence, you are encouraged to attach evidence of this to your appeal form. Please note: Failure to complete any of the above steps may cause a delay in your appeal being processed and eventually heard. Education, health and care statutory assessment (EHCP) Has your child or young person been referred for an education, health and care statutory assessment? Yes No Information message Please contact SEN Start Team at SENSTART@wolverhampton.gov.uk(link sends email) if your child has a Education, Health and Care Plan (EHCP). Person details Pupil's details Child's legal name First name Last name Child's address First line of Address Second line of Address 2 City/Town Postcode Child's date of birth Current school Current school year - Select -NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13- Select -▾- Select -NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13 Your details Customer name Title Title - Select -MissMsMrMrsDrOther…- Select -▾- Select -MissMsMrMrsDrOther… Enter other… First name Last name Email Phone number Relationship to child School(s) for which you are appealing You can only appeal for a particular school if you made an application for that school which has subsequently been refused. If you are appealing for more than one school, please ensure that you submit supporting information in respect of each school. Please select whether you are appealing for a place at a Primary or Secondary School. - Select -Primary SchoolSecondary School- Select -▾- Select -Primary SchoolSecondary School Select Primary School Hide lower priority columns Please select the Primary Schools you are appealing for Name any siblings currently at this school Operations Please select the Primary Schools you are appealing for - Select -All Saints’ CE PrimaryBantock Primary SchoolBerrybrook Primary SchoolBilston Church of England Primary SchoolBirds Bush PrimaryBushbury Hill Primary SchoolBushbury Lane AcademyCastlecroft Primary School Christchurch (Church of England) Infant and Nursery SchoolChristchurch (Church of England) Junior SchoolClaregate Primary SchoolD'Eyncourt Primary SchoolDovecotes Primary SchoolDunstall Hill Primary SchoolEast Park AcademyEastfield Primary SchoolEdward the Elder Primary SchoolElston Hall Primary SchoolFallings Park Primary SchoolField View Primary SchoolForest Hills PrimaryGoldthorn Park Primary SchoolGraiseley Primary SchoolGrove Primary SchoolHill Avenue AcademyLanesfield Primary SchoolLong Knowle Primary SchoolLoxdale Primary SchoolManor Primary SchoolMerridale Primary SchoolMesty Croft Primary Nishkam Primary SchoolNorthwood Park Primary SchoolOak Meadow Primary SchoolPalmers Cross Primary SchoolParkfield Primary SchoolPerry Hall Primary SchoolRakegate Primary SchoolSledmere Primary Spring Vale Primary SchoolSpringdale Primary SchoolSt Alban's CE AcademySt Andrew's Church of England Primary SchoolSt Bartholomew's CE Primary SchoolSt Benedict Biscop CE PrimarySt Jude's CE Primary SchoolSt Luke’s Church of England (Aided) Primary SchoolSt Martin's CE Primary SchoolSt Michael’s Church of England Aided Primary SchoolSt Paul’s Church of England Aided Primary SchoolSt Stephen's CE Primary SchoolSt Thomas' CE Primary AcademyStanley Road Primary Stow Heath Primary SchoolStowlawn Primary SchoolTrinity CE Primary AcademyUplands Junior SchoolVilliers Primary SchoolWarstones Primary School West Park Primary SchoolWestacre Infant SchoolWhitgreave Primary SchoolWilkinson Primary SchoolWoden Primary SchoolWodensfield Primary SchoolWood End Primary SchoolWoodfield Primary SchoolWoodthorne Primary School- Select -▾- Select -All Saints’ CE PrimaryBantock Primary SchoolBerrybrook Primary SchoolBilston Church of England Primary SchoolBirds Bush PrimaryBushbury Hill Primary SchoolBushbury Lane AcademyCastlecroft Primary School Christchurch (Church of England) Infant and Nursery SchoolChristchurch (Church of England) Junior SchoolClaregate Primary SchoolD'Eyncourt Primary SchoolDovecotes Primary SchoolDunstall Hill Primary SchoolEast Park AcademyEastfield Primary SchoolEdward the Elder Primary SchoolElston Hall Primary SchoolFallings Park Primary SchoolField View Primary SchoolForest Hills PrimaryGoldthorn Park Primary SchoolGraiseley Primary SchoolGrove Primary SchoolHill Avenue AcademyLanesfield Primary SchoolLong Knowle Primary SchoolLoxdale Primary SchoolManor Primary SchoolMerridale Primary SchoolMesty Croft Primary Nishkam Primary SchoolNorthwood Park Primary SchoolOak Meadow Primary SchoolPalmers Cross Primary SchoolParkfield Primary SchoolPerry Hall Primary SchoolRakegate Primary SchoolSledmere Primary Spring Vale Primary SchoolSpringdale Primary SchoolSt Alban's CE AcademySt Andrew's Church of England Primary SchoolSt Bartholomew's CE Primary SchoolSt Benedict Biscop CE PrimarySt Jude's CE Primary SchoolSt Luke’s Church of England (Aided) Primary SchoolSt Martin's CE Primary SchoolSt Michael’s Church of England Aided Primary SchoolSt Paul’s Church of England Aided Primary SchoolSt Stephen's CE Primary SchoolSt Thomas' CE Primary AcademyStanley Road Primary Stow Heath Primary SchoolStowlawn Primary SchoolTrinity CE Primary AcademyUplands Junior SchoolVilliers Primary SchoolWarstones Primary School West Park Primary SchoolWestacre Infant SchoolWhitgreave Primary SchoolWilkinson Primary SchoolWoden Primary SchoolWodensfield Primary SchoolWood End Primary SchoolWoodfield Primary SchoolWoodthorne Primary School Name any siblings currently at this school Select Secondary school Hide lower priority columns Please select the Secondary Schools you are appealing for Name any siblings currently at this school Operations Please select the Secondary Schools you are appealing for - Select -Aldersley High SchoolColton Hills Community SchoolCoppice Performing Arts SchoolHeath ParkHighfields SchoolMoreton SchoolMoseley ParkOrmiston NEW AcademyOrmiston SWB AcademySt Matthias SchoolSt Peter's Collegiate Church of England SchoolSt Regis CE AcademyThe Khalsa Academy- Select -▾- Select -Aldersley High SchoolColton Hills Community SchoolCoppice Performing Arts SchoolHeath ParkHighfields SchoolMoreton SchoolMoseley ParkOrmiston NEW AcademyOrmiston SWB AcademySt Matthias SchoolSt Peter's Collegiate Church of England SchoolSt Regis CE AcademyThe Khalsa Academy Name any siblings currently at this school About your appeal Reason for appeal Include all the reasons why you think your child should be offered a place at the school you are appealing for. State the reasons for your appeal concisely and clearly. No further arrangements can be made for the hearing of your appeal until we receive your written grounds. Upload any documents in support of your appeal Hide lower priority columns Upload any documents in support of your appeal Operations Upload any documents in support of your appeal One file only.64 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.20 MB limit per form. Add another file more items more items Arrangements for appeal hearing Appeals will be conducted online using a free application called Microsoft Teams. You can attend the meeting remotely from any device with access to an internet browser (telephone, tablet, laptop) or, if you have not got a mobile device, you can dial in from any telephone. All instructions and relevant joining information will be provided with your appeal hearing invite, which will be emailed to you before the hearing. Do you plan to attend the appeal hearing? If you select no, this means the appeal will be considered based on the information provided in writing. - Select -YesNo- Select -▾- Select -YesNo You will normally be given 10 school days’ notice of your appeal hearing. Are you willing to waive your right to days’ notice of your appeal? This means you may have less that 10 school days’ notice of your appeal date. - Select -YesNo- Select -▾- Select -YesNo Do you have a disability? - Select -YesNo- Select -▾- Select -YesNo Do you need us to make any special arrangements? - Select -YesNo- Select -▾- Select -YesNo What do you need? If you are going to attend the appeal do you require an interpreter? - Select -YesNo- Select -▾- Select -YesNo Please specify language You are entitled to be represented at your appeal hearing or accompanied by a friend. Do you intend to invite a representative or a friend to join the hearing, or want to call any witnesses. - Select -YesNo- Select -▾- Select -YesNo Please provide the names of your representative and witnesses Statement I certify that the information I have provided on this form is true to the best of my knowledge, and understand that any false or deliberately misleading information on this form and/or supporting papers may render this application invalid and could lead to the withdrawal of an offer of a school place for my child. By submitting this form you agree to the City of Wolverhampton Council processing your data in accordance with our Privacy and Cookies Notice | City Of Wolverhampton Council. The information collected on this form will be used by the independent appeals panel in support of your appeal. The form will be circulated to members of the independent appeals panel prior to the appeal meeting. This information will be retained for 2 years. The law restricts the grounds on which Appeal Panels may allow appeals for Reception, Year 1 and Year 2 where the class size limit is 30. These grounds are that either the admission authority has made a mistake and if that mistake had not been made your child would have been offered a place; that your child would have been offered a place if the admission arrangements had not been contrary to the mandatory provisions in the School Admissions Code; or that the admissions authority has acted unreasonably in not offering your child a place. The information you provide on this form will be used to consider your appeal, it will be shared with members of the appeal panel and school who have an obligation to keep any information confidential. Information will be input onto Council systems to keep a record of the appeal and outcome. If you have any concerns about your information, please contact SchoolAppeals@wolverhampton.gov.uk. City of Wolverhampton Council are committed to protecting any personal data that we hold about our customers. If you need further information on how your information is used or your data rights, you can view our privacy notice or contact us via Information Governance Team, Civic Centre, St. Peter's Square, Wolverhampton VVV1 1SH, 01902 554498, data.protection@wolverhampton.gov.uk. I agree to the statements above 13904
