SIEVE-MK

THE LEARNING CENTRE

Application Form
Fields with * are compulsory.

Student Details:
Surname:*		First Name:*
Date Of Birth:* yyyy-mm-dd		Gender:
Current School year:*		School:

Parent or Guardian Details:
Surname:*		First Name:*
Relationship to Child:*		Telephone No:
Mobile No:*		Email:*
Home Address:*		Does Your Child have any Medical Needs?

Subject Details:

KEYSTAGE:	Keystage3	Keystage4

STAGE:	Year 7 Year 8 Year 9	Year 10 Year 11

SUBJECTS:	English Maths Science

TERMS & CONDITIONS OF ENROLMENT TO SIEVEMK

This application form does not reserve a place at SIEVEMK. The Administrator reserves the right to make an offer of a place on the strength of the application.
Absence from class for whatever reason, including sickness, does not automatically lead to a refund of fees. SIEVEMK will not provide extra lessons without charge to compensate for such absences.
Students are personally responsible for their own safety and are jointly or individually liable for any damage caused by them to the premises where they are taught.
Timetables may be revised at short notice should circumstances demand it. Wherever possible, students will be notified of this in advance. If there is insufficient demand for a course then we will offer private tuition with a number of reduced hours in lieu of the full course.
Please note that information (including personal information) that you provide to, or which is already held by SIEVEMK may be passed on to our insurers and other related parties for servicing insurance schemes, administering claims and other educational purposes. SIEVEMK requires up to date contact details for all students and their parents or guardians. Parents must inform the management of SIEVEMK of any changes to their contact details.

Do You Agree To This Terms?

Yes No