Wufoo Application for admission to Year 7 September 2022 Pupil's Details Forename(s) * Surname * Male/Female * Select one Male Female Address * Post Code * Date of Birth * MM / DD / YYYY Present School * Current Year Group * Parents Details Forname(s) * Surname * Title * Address ( if different to child ) Post Code ( if different to child ) Email * Telephone Number(s) * Parish in which you reside Is your child a baptised Catholic ? * Select one Yes No If not baptised Catholic, is your child a member of another Christian denomination or religious faith? * Select one Yes No Does your child have an older brother or sister currently at Mary Immaculate? * Select one Yes No Is your child on the SEN Register? * Select one Yes No Is your child Statemented? * Select one Yes No Please provide details SA / SA+ / S (Reason) Is your child looked after by the Local Authority? * Select one Yes No Is your child subject of a special guardianship order? * Select one Yes No Select Category Please select the Category number that corresponds to your child: * 1: Those children who are (or have been) designated ‘Looked After’; 2. Baptised Catholic children who attend one of our designated Catholic primary schools; 3. Baptised Catholic children who do not attend one of our designated Catholic primary schools but have a sibling at Mary Immaculate; 4. Baptised Catholic children who do not attend one of our designated Catholic primary schools 5. Other children who attend one of our designated Catholic primary schools 6. Non-Catholic children who do not attend one of our designated Catholic primary schools, but who have a sibling at Mary Immaculate 7. A Christian denomination, other than Catholic, usually applying to Protestant or Orthodox traditions, who wish to receive a faith education 8. Children of a religious tradition, defined as a world religion other than Christian, who wish to receive a faith education at Mary Immaculate; and 9. Any other children who wish to receive a faith education at Mary Immaculate. Other Reason for Application If you are applying to Mary Immaculate for any reason other than it is the linked secondary school which your child would normally attend, would you please give below reasons in support of your application. Privacy Statement By submitting your application, you consent to Mary Immaculate High School processing and storing your data in accordance with the General Data Protection Regulation for administrative purposes, to Mary Immaculate High School contacting you with regard to your child’s application, and to receiving marketing communications and event invitations from Mary Immaculate High School relevant to your child’s application. We will use the information you have shared above to process your child’s application and contact you about upcoming events relevant to said application. Yours and your child’s information will be securely retained on record for the duration of her application and until they are no longer of school age, or you request for your information to be erased. Please note that we reserve the right to request further information and sight of documentation in support of your declarations in this form This application form is hosted by https://www.wufoo.com/ which is owned by https://www.surveymonkey.com/. SurveyMonkey servers are located in United States and Ireland. Please be aware that your information may be transferred to, stored, and processed by them in their facilities. SurveyMonkey have implemented measures to protect your personal information, including by using the European Commission's Standard Contractual Clauses for transfers of personal information. These clauses require all recipients to protect all personal information that they process originating from the EEA in accordance with European data protection laws and regulations. SurveyMonkey’s Standard Contractual Clauses can be provided upon request. SurveyMonkey complies with the EU-U.S. Privacy Shield Framework as set forth by the U.S. Department of Commerce regarding the collection, use, and retention of personal information transferred from the European Union and the United Kingdom to the United States and has certified its compliance with it. Wufoo collects form responses on behalf of Mary Immaculate High School. Mary Immaculate High School is responsible for this data and has the tools to maintain the responses we collect through the form. If you have any questions about the form, or if you want to access, update, or delete anything in your responses please contact Mary Immaculate High School. Wufoo cannot provide you with this access since form responses are the Mary Immaculate High School’s private information. Wufoo disclose the information we collect in accordance with SurveyMonkey’s main Privacy Policy for survey respondents (except that references to surveys and survey data should be read as references to forms and form data in the context of Wufoo). Signature Signature of Parent/Guardian * Date * DD / MM / YYYY