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Boarding Application Form 2013 .pdf


Original filename: Boarding Application Form 2013.pdf
Author: Lynn Mears

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Boarding Application Form 2013
Student Details
Surname

Home Address

Forename(s)
Known as
Gender

Male

Female

Postcode

Date of Birth

Telephone No

Student Email
Address

School Email
Address

Name and address of each parent
Mother’s Name

Father’s Name

Address

Address

Home Tel No

Home Tel No

Mobile No

Mobile No

Email

Email

Additional Information
Yes

No

Are your parent’s resident overseas?

Yes

No

Is either parent employed in the public or voluntary sector?

If yes, please note their job title and employer
Yes

No

Is either parent employed by the HM Forces or MoD?

Please give the names of any siblings who have attended Peter Symonds College
Name

Dates

Boarder

Yes

No

Name

Dates

Boarder

Yes

No

Personal Statement
Please write a short statement setting our why you are applying to board at Peter Symonds College

Signature of Applicant

Date

Signature of Parent/Guardian

Date

Please complete and return this form, along with a college application form to:
Julia Anderson, Head of Admissions, Peter Symonds College, Owens Road, Winchester, SO22 6RX
If you would like this form in an alternative format, please contact Admissions on 01962 857555
Once we have received your application we will request a reference from your current Head teacher, unless you inform us
otherwise.
Data Protection Act (1998) The information you give on this form will be put onto our computer system and used to support your
learning while you are at college.


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