Membership Registration Form

Please note that your organisational details will be visible on our online directory unless you tell us you do not want to be included. Please supply your objection either by email or telephone us on 0116 299 5944

Section A – Correspondence details

All correspondence will be sent to this address

Name of Complementary School

First Name

Surname

Title

Role

Postal Address

Postcode

Phone Number

E-mail

Mobile Number

Section B - Your Complementary School’s activities

1. Name of Organisation

2 .Address of school/premises where classes take place

3. Postcode Area/Warde

4. What are the age groups of the children who attend?

0-4 years5-7 years8-10 years11-13 years14-16 years16+ years

5. How many children are enrolled in the school?

6. How many hours or classes are there per week? (please specify)

7. What National Curriculum subjects are taught? (if applicable)

EnglishMathsScienceICTOther (please specify)

8. What languages are taught? (if applicable)

9. What other activities take place?

DanceDramaSingingArtsSportsReligious studiesCultural activitiesOther (please specify)

10. If you do not wish the details in Section B to be publically available, please tick here

Section C - Additional information

1. On what days and what times does the school run?

2. Is any formal accreditation available for the languages and/or additional activities being taught? (if so please specify)

3. Is your complementary school a registered Charity and/or Company Ltd.?

YESNO
Charity No.

Company No.


4. What is the ethnic origin of the majority of children attending the school?

5. Total number of paid staff

6. Total number of volunteers

7.Total number of management committee members

Section D – Information about partnership working

1. Does your school work with a maintained school?

YESNO

2. If yes, please give details about the nature of the partnership;

3. Please provide three names of the management committee/trustees

1.

2.

3.

4. Would your school be interested in joining the following partnership?

Complementary Schools Forum/NetworkComplementary Schools Cluster

5. Is your school a member of the National Resources Centre for supplementary schools?

YESNO

6. Has your school achieved any of the following Quality Framework?

BronzeSilverGold

7. Has your school achieved any of the following Quality Framework?

8 .Please detail below the date the award was given.