Please download this form, complete it and email it to karen.mckenzie@cheshamgrammar.org along with all the requested supporting documentation listed below:

• Copy of Birth Certificate or Passport and Visa if one is required
• Documentation to support quoted predicted grades
• Written evidence of exceptional medical or social needs if appropriate
• Evidence of address ie utility bill/TV license - less than six months old
• If moving into the area, details from a solicitor of exchange and completion on the property or a tenancy agreement

If you have not yet taken your mocks and therefore do not have your final predicted grades, please include a copy of your last Year 10 report and your Year 10 target grades with a note to advise when we will receive your mock results.