Nursery Schools Choice 

Pre-interview Questionnaire

* Required
Details of Child
   
Full name *
Sex
Nationality
Religion
Date of Birth
Age
First Language
Level of English
Health
   
Home Address *
Postcode
   
Present Nursery/Playgroup/Childminder (if any)
   
Name of School/Unit
Leader (for References)
Attended from (Year)
Attended to (Year)
School Address
Postcode
   
Details of Parents or Guardian( if both parents abroad or deceased)
Father / Guardian  
Full Name
Profession
Employer
   
Address
Postcode
   
Telephone
Fax
Email
   
Mother  
Full Name
Profession
Employer
   
Address
Postcode
   
Telephone
Fax
Email
   
   
Person(s) Responsible for School Fees
 
   
Details of Proposed School (if known) & outcome of any previous applications
 
 
England - Metropolitan Areas
 
Prefered Borough
   
England - Non-Metropolitan Areas
 
Prefered Location
Sector
Attendance

Part Time       Full Time
Date of Entry
Term
   
Special Requirments (if any)
 
 
Other Interests (sports, social, hobbies, special skills, etc.)
 
 
Other Information
 
   
 

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