H O R N BILL SCH O O L BRU NEI - Hornbill School Website

OTHERS WITH PARENTAL RESPONSIBILITY AS DEFINED BY 1996 EDUCATION ACTParental responsibility may be shared between a number of people beyond the child’s natural parents. Married parents haveequal parental responsibility; on separation or divorce both parents continue to have responsibility. In such circumstances theschool will forward copies of school reports, etc. to the separated parent if requested. Please give details below:Name (and relationship to child):Home Address:Work Address:Telephone Nos:Home:Mobile:Telephone Nos:Work:Mobile:Is the child resident with foster parents: Yes No Please attach a copy of any court orders relating to your child. Please tick if attachedOther children in the family. (This information will only be used in relation to this application to the school)Name: ________________________ Age: _______________________ Position in family: _______________________Name: ________________________ Age: _______________________ Position in family: _______________________Name: ________________________ Age: _______________________ Position in family: _______________________MEDICAL & ADDITIONAL NEEDS INFORMATIONDOCTORSurgery name and address & tel no:Doctor’s name (if known):DIETARY NEEDS / ALLERGIESο Artificial colour allergy ο Gluten Free ο Kosher food only ο No dairy produceο No nuts of anytype/quantityο No pork ο Halal ο Seafood allergyο Vegetarian ο No Beef ο Other (please specify)Is your child receiving any medical care at present? Please tick below or add any other information as necessary. (Please givedetails including any medication requirements) *ο Epilepsy* ο Diabetes* ο Physical difficulties* ο Eczema*ο Autism* ο Coeliac Disease* ο Hearing impairment* A.D.H.D.*ο Asthma* - If your child uses an inhaler, is it carried on their person?Yes / NoFurther information if necessary: (for example does you child wear glasses at any time?)

Have any other services been involved with your child: Yes No (e.g. Social Services; Education Psychologist; Bilingual Support Service; Speech Therapist;; Diagnostic Unit; Behaviour SupportService; Child and Adolescent Mental Health Service (CAMS); Youth Offending Team)Is there any other information you feel the school should be aware of? For example does your child have special oradditional needs?ο School Action ο School Action + ο Is your child registered with CEAS in Upavon (UK)Does you child have a statement of Special Educational Needs or a Record of Needs (Scotland) Please use this space toprovide any additional informationPREVIOUS EDUCATION DETAILS (Most Recent First)School / Pre-School Name Contact Details Date ofarrivalAddress:Date ofleavingReason For LeavingTelephone:Address:Telephone:Address:Telephone:For pupils being admitted into the Reception Year (FS2) only, please include the number of terms spent in pre-school educationwhere known. Please continue on a separate sheet of paper if necessary.ETHNIC / CULTURAL INFORMATIONPlease complete the following, this will help us to see how well children from different groups are doing. We want to make surethat all children are treated fairly and do well at school.Nationality:Religion:Mother tongue:Ethnicity:Language spoken at home:Other

ADDITIONAL INFORMATIONMEALSο Special dietary requirementsο Snack provided by parentsTRAVEL TO SCHOOLο Bicycle ο Car ο Public Transport ο Garrison Transportο Taxiο WalksPARTICIPATION IN SCHOOL ACTIVITIES – Parental agreementο Use of INTERNET ο Educational Visits ο Photographs ο Garrison Transportο Taxiο WalksPARENTAL DECLARATIONDATA PROTECTION STATEMENT:The purpose of this form is to collect data for further processing within the school / Agency (SCE) information systems. Yoursignature on this form implies your consent for the school to process the data. The data will be processed in accordancewith the purposes notified by the Agency (SCE) to the Data Protection Commissioner's office and are subject to the DataProtection Act. The information given will be entered onto a computer and will form part of the School’s database. Thisinformation will also be shared with the school nurse and dental health.DECLARATION OF PERSON WITH LEGAL RESPONSIBILITY:I declare the above information to be correct to the best of my knowledge at the time of completion.I agree to notify the school of any change in my child’s circumstances.I understand that the headteacher must be informed of any conditions which might effect my child’s education.Signed: __________________________________________ Date: ________________________Please use this space to provide any other information that you believe would be of help to theschool.Please return this form to the Headteacher of the School

HORNBILLSCHOOLHornbill SchoolBritish Forces Brunei, BFPO 11Tel (00 673) 3224101 ext 3214/3893B R U N EI‘Flying High’Working Together to Build aSuccessful Future for AllFax (00 673) 3221060Email: office.hornbill@sceschools.comwww.hornbillschool.comConfirmation of Entitlement1. Details of Head of Household:Number Rank Name & Initials Service/Regt/Corps…………………………………… …………………………………………………………………………………………………..2. Child’s Full Name Child’s Date of Birth……………………………………………………………………………………………..3. Unit Date of Family’s Arrival…………… ………………………………………………………………..4. CERTIFICATE I undertake to carry out the following:a. Not to withdraw my child without giving notice to School.b. To inform the School of any change of address.c. To inform the School of any change in my status.d. To see that my child, except in cases of genuine illness will attend School regularly and to inform theschool in writing of all cases of absence.e. To inform Hornbill School in writing or by personal call when my child is due to leave Brunei.f. To comply with Hornbill School Rules/Regulations/Policies.Additionally, I confirm that I have completed the Hornbill School application pack giving full details of anymedical or special educational need that my child may have and I have provided the school with anydocuments from their previous setting.Signature of Parent ………………………………………Date ………………………………………I confirm the above Family are entitled personnel.Checked and signed by Garrison Chief Clerk:……………………………………… Date …………………

HORNBILLSCHOOLParents please retain this page for your recordsDATA PROTECTION ACTB R U N EISchools, SCE and the Department of Education and Skills (the government department which deals witheducation) all hold information on pupils in order to run the education system, and in doing so have to followthe Data Protection Act 1998. This means, among other things, the data held about pupils must only be usedfor specific purposes allowed by law. We are therefore writing to tell you about the types of data held, whythat data is held, and to whom it may be passed on.The School holds information on pupils in order to support their teaching and learning, to monitor and reporttheir progress, to provide appropriate pastoral care, and to assess how well the school is doing. Thisinformation includes contact details, National Curriculum assessment results, attendance information,characteristics such as ethnic group, special educational needs and any relevant medical information.From time to time we are required to pass on some of this data to HQ SCE, to another school to which thepupil is transferring, to the Department of Education and Skills (DfES), and to Qualifications and CurriculumAuthority (QCA) which is responsible for the National Curriculum and associated assessment arrangements.HQ SCE uses information about pupils to carry out specific functions for which it is responsible, such anassessment of any special educational needs the pupil may have. It also uses the information to derivestatistics to inform decisions on (for example) the funding of schools, and to assess the performance ofschools and set targets for them. The statistics are used in such a way that individual pupils cannot beidentified from them.The Qualifications and Curriculum Authority uses information about pupils to administer the NationalCurriculum tests and assessment for Key Stages one To Three. The results of these are passed on to DfESin order for it to compile statistics on trends and patterns in levels of achievement. The QCA uses theinformation to evaluate the effectiveness of the National Curriculum and the associated assessmentarrangements, and to ensure that these are continually improved.The Department of Education and Skills uses information about pupils for statistical purposes, to evaluateand develop education policy and to monitor the performance of the education service as a whole. Thestatistics (including those based on information provided by the QCA) are used in such a way that individualpupils cannot be identified from them. The DfES will feed back to LEAs and schools information about theirpupils where they are lacking information because it was not passed on by a former school. on occasioninformation may be shared with other Government departments or agencies strictly for statistical orresearch purposes only.Pupils, as data subjects, have certain rights under the Date Protection Act, including a general right ofaccess to personal data held on them, with parents exercising this right on their behalf if they are too youngto do so themselves. If you wish to access, the personal data held about your child, then please contact therelevant organisation in writing:- the school: Mrs K M Wood MBE MEd, Hornbill School, HQ Brunei Garrison, BFPO 11- the SCE Data Protection Officer (Angela Williams) HQ SCE, Building 5, WMC, BFPO 40- the QCA’s Data Protection Officer at QCA, 83 Piccadilly, London W1J 8QA- the DfES Data Protection Officer at DfES, Caxton House, Tothill Street, London, SW1H 9NA