ADMIN USE Year group: ___ Year of entry: _____________ PETERBOROUGH DIOCESE BOARD OF EDUCATION

NOTICE OF APPEAL

Please return this form to: Appeals Administrator, Diocesan Board of Education,

Bouverie Court, 6 The Lakes, Northampton NN4 7YD

I wish to appeal against the decision of the Governing body not to offer my child a place at Caroline Chisholm School, to start Please choose a date in Year Year Group.

Please bear in mind that admission appeals take 30 school days to arrange from receipt of this form into the education office. Please do not return this form to the school.

Child’s Details
Surname: Child’s Surname	Date of Birth: Date of Birth
Forename: Child’s Forename	Gender: Male/Female

Appellant Details
Title: Mr/Mrs etc.	Relationship: Relationship
Forename: Your Forename	Surname: Your Surname
Home Address including postcode: Home address and postcode Home address and postcode Home address and postcode Home address and postcode
I confirm this is the child’s home address: (Please check box) ☐ If not, please enter the child’s address here: Child’s home address and postcode Child’s home address and postcode Child’s home address and postcode Child’s home address and postcode
E-mail:	E-mail.
Home Telephone:	Home Phone No.
Mobile Telephone:	Mobile Phone No.
I will be attending the hearing: You will be advised of the date in advance. Please note, if you are unable to attend the appeal will be heard in your absence.	Yes/No
I wish to be accompanied by a friend (Tick): ☐	Name:	Name
Relationship:	Relationship
I have applied via Northamptonshire County Council for a place in this year group: Appeals cannot be heard before an application has been made. Please apply on-line at www.northamptonshire.gov.uk/admissions	Yes/No
Date of application:	Application Date	Application reference:	Reference
Child’s Current School:	Current School
School Offered by NCC following Application:	Offered School

Reasons For Appeal. Please state clearly your reasons for appeal and include supporting evidence where necessary. Please read carefully the ‘Notes for Guidance’ sheet included with this form.
Please enter text here.

Signed: Your name	Date: Date