Apply for Year 9 - 2024/25 - UTC Derby Pride Park

Applicant Details
Student's Name*
First Middle Last
Date of Birth*
Day
Month
Year
Applicants sex*
- Female
- Male
The Trust must collect information on biological sex in order to fulfil DFE requirements to report on student attainment by sex. This is a statutory requirement. The Trust is committed to supporting all students gender identity and gender expression during their time at their UTC, therefore we will also collect information on gender and preferred pro-nouns.
Hidden
Gender*
Current Home Address*
Street Address Address Line 2 City Postcode
Home Phone Number
Current School and Year*
Where did you hear about the UTC?
Is this child looked after by a Local Authority?*
- Yes
- No
Which Local Authority?*
Name of Social Worker*
What area is the student interested in?*
- Engineering
- Health & Life Sciences

Declaration and signature of Parent / Carer
{all_fields}
- I confirm that I wish to apply for a place for my child at UTC Derby Pride Park.
- I certify that I am the person with parental responsibility for the child named above and that the information given is true to the best of my knowledge and belief.
- I understand that a place may be withdrawn if it is offered because of fraudulent or misleading information.
- I give permission for the information I have provided in this application form to be securely held, processed and shared for school admissions purposes, in accordance with Education Regulations and the requirements of the Data Protection Act 1998.
Confirmation of Agreement*
- I confirm that I agree to all the above statements.
Information for Learner Manager
Please enter if you know the following numbers:
CCIS ID
Unique Pupil Number (UPN)
Unique Learner Number (ULN)
Comments
This field is for validation purposes and should be left unchanged.

Apply for Year 9 – 2024/25