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The Indigo Group Early Years Services application form.

Note to Parent/Guardian: All information given by you will be treated in confidence.


Child's Details

Please indicate your preferred choice of Early Years Nursery: *
Full name of child: *
Child's Date of Birth: * / /
Child's Sex: *
Child's Address: *
Postcode: *
Telephone / Mobile Number:
Place in family e.g. 2nd or 3rd child: *

Parental Details

  Main Carer
(Single Parent? )
Partner
(Optional for single parents)
Name: *
Date of Birth: * / / / /
Address: *
Postcode: *
Telephone / Mobile Number: *
Email Address: *
Occupation: *
Place of Employment / Education / Training: *
Contact Telephone Number: *

Your Personal Circumstances

In line with our new Admissions Policy implemented in November 2011, places are prioritised in accordance with our banding criteria. Therefore in order for your application to be considered by our Admissions Panel, we require the following information. Failure to provide this information may delay your start date / offer.

Please indicate which of these statements best describes your personal circumstances.

You may choose only ONE OPTION per parent.

  Main Carer Partner
(Optional for single parents)
Employed or Self Employed and in receipt of Working Tax Credit.
Employed or Self Employed and NOT in receipt of Working Tax Credit.
Student in receipt of SAAS Funding.
In further education or training and in receipt of Working Tax Credit.
Unemployed
Other
(Please Specify)




You will be required to provide proof of your circumstances prior to your child being offered a place. A copy of our Admissions Policy can be obtained by contacting our Admissions Team on 0141 634 6161 or alternatively can be downloaded here.


Type of Placement Required

It is not always possible to satisfy your choice of days, but it is helpful to know when you would like your child to attend. * Please note: This information will be considered when places are being allocated, however, if a place is offered to you, the establishment head will then discuss the actual hours of attendance.

*Half Day care slots are only available for children aged 3-5 years.

Hours of Care Required: * Full Daycare
(8am-5.45pm)
Half Daycare*
(8am-1pm)
Half Daycare*
(1pm-5.45pm)
Statutory
(9am-12noon)
Statutory
(1pm-4pm)
Days Requested: * Monday: Tuesday: Wednesday: Thursday: Friday:
When would you like your childcare to begin: * / /

Home Language

Language most spoken at home: *
If other, please state your child's main language:

How did you hear about us?

In order that we can monitor the most effective marketing initiatives we currently utilise, please indicate how you heard about us.

How did you hear about us?: *
If other, please state where:

Please ensure that you notify the Admissions Team of any changes to your personal circumstances sich as your contact telephone number, or home address as this may delay your application should we need to contact you. Should your employment status change or your entitlement to Working Tax Credit, please notify us as soon as possible as this may influence the priority with which a childcare place is offered to you.

IMPORTANT: Please check that you have answered all of the mandatory questions. Failure to do so will result in a delay of your application submission.

All fields marked with a red asterisk * are mandatory and must be be filled in.