47 questions
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Back Preview Get SCROLL to use this template| Name | Text of question | Type of answer | Further notes | Data source | Mandatory? |
|---|---|---|---|---|---|
| nursery_am_pm | Would you like to apply for a place at the... | List of choices | Yes | ||
| pupil_forename | Forename | Text (single-line) | CBDS | Yes | |
| pupil_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
| pupil_pref_name | Preferred Name | Text (single-line) | Optional | CBDS | |
| pupil_surname | Surname(s) | Text (single-line) | As stated on Birth Certificate. | CBDS | Yes |
| pupil_dob | Date of Birth (dd/mm/yyyy) | Date | CBDS | Yes | |
| pupil_gender | Is the child a...? | List of choices | CBDS | Yes | |
| pupil_line1_address | House number/name and street | Text (single-line) | CBDS | Yes | |
| pupil_line2_address | Name of city or town | Text (single-line) | Optional | CBDS | |
| pupil_postcode | Postcode | Text (single-line) | Yes | ||
| pupil_home_tel | Home telephone number | Text (single-line) | Yes | ||
| pupil_residence | Which Local Authority does the child live in? | List of choices | ie the Local Authority to which Council Tax is paid. | CBDS | Yes |
| adult1_title | Title | List of choices | CBDS | Yes | |
| adult1_forename | Forename | Text (single-line) | CBDS | Yes | |
| adult1_surname | Surname | Text (single-line) | CBDS | Yes | |
| adult1_parentalresp | Do you have parental responsibility? | List of choices | CBDS | Yes | |
| adult1_relationship | Relationship to child | List of choices | CBDS | Yes | |
| adult1_same_address_as_pupil | Is your address the same as the child's home address? | List of choices | CBDS | Yes | |
| adult1_mobile_number | Your mobile number | Text (single-line) | Yes | ||
| adult1_email | Your email address | Text (single-line) | Yes | ||
| adult1_line1_address | House number/name and street | Text (single-line) | CBDS | Yes | |
| adult1_line2_address | Name of city or town | Text (single-line) | Optional | CBDS | |
| adult1_postcode | Postcode | Text (single-line) | Yes | ||
| adult1_home_tel | Home telephone number | Text (single-line) | Yes | ||
| adult1_employment | Are you in employment? | List of choices | Yes | ||
| adult2 | Is there a second parent/guardian? | List of choices | Yes | ||
| adult2_title | Title | List of choices | CBDS | Yes | |
| adult2_forename | Forename | Text (single-line) | CBDS | Yes | |
| adult2_surname | Surname | Text (single-line) | CBDS | Yes | |
| adult2_parentalresp | Does this person have parental responsibility? | List of choices | CBDS | Yes | |
| adult2_relationship | Relationship to child | List of choices | CBDS | Yes | |
| adult2_same_address_as_pupil | Is home address the same as the child's home address? | List of choices | CBDS | Yes | |
| adult2_mobile_number | Mobile number | Text (single-line) | Yes | ||
| adult2_email | Text (single-line) | Yes | |||
| adult2_line1_address | House number/name and street | Text (single-line) | CBDS | Yes | |
| adult2_line2_address | Name of city or town | Text (single-line) | Optional | CBDS | |
| adult2_postcode | Postcode | Text (single-line) | Yes | ||
| adult2_home_tel | Home telephone number | Text (single-line) | Yes | ||
| adult2_employment | Is this contact in employment? | List of choices | Yes | ||
| current_nursery | Is the child currently attending a nursery? | List of choices | Yes | ||
| current_nursery_name | Name of the nursery the child attends at present. | Text (single-line) | CBDS | Yes | |
| current_nursery_line1_address | House number/name and street | Text (single-line) | CBDS | Yes | |
| current_nursery_line2_address | Name of city or town | Text (single-line) | Optional | CBDS | |
| current_nursery_postcode | Postcode | Text (single-line) | Yes | ||
| current_nursery_tel | Telephone number | Text (single-line) | Yes | ||
| declaration_adult1 | I confirm by ticking the box below that all the information given in this form is true to the best of my knowledge. | List of choices | Yes | ||
| declaration_adult2 | I confirm by ticking the box below that all the information given in this form is true to the best of my knowledge. | List of choices | Yes |