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School In Year Admissions

Form 2a

Address details

Child's current address
Gun Wharf
Dock Road
Chatham
ME4 4TR

Do you live at the same address?
Are you applying for the child to move school because they are moving house?

Date of move
For example, 31 03 2016
Upload
Browse and upload file
Previous
<h1 class="heading-large">Address details</h1>

<form action="form_2a" method="post">
<div class="content-block">

    <fieldset class="inline">
        <legend>
            <span class="form-label-bold">
                Child's current address            
            </span>
        </legend>
        <address>
            Gun Wharf<br>
            Dock Road<br>
            Chatham<br>
            ME4 4TR
        </address>
    </fieldset>
    <br>
    <fieldset class="inline">
        <legend>
            <span class="form-label-bold">
                Do you live at the same address? 
            </span>
        </legend>

        <div class="form-group form-group-compound">
            <label class="block-label" for="current-address-yes">
                <input id="current-address-yes" type="radio" name="current-address" value="Yes">
                Yes
            </label>

            <label class="block-label" data-target="current-address-fields" for="current-address-no">
                <input id="current-address-no" type="radio" name="current-address" value="No">
                No
            </label>
        </div>

        <div class="panel-indent js-hidden" id="current-address-fields">
            <fieldset class="postcode-search">
                <div class="form-group">
                    <label class="form-label-bold" for="postcode">Search for your address using your postcode</label>
                    <span class="form-hint">Postcode</span>
                    <input class="form-control half-width" id="postcode" type="text" data-postcode-search="search_term">

                    <p class="postcode-term-change js-hidden" data-postcode-search="postcode_term_change">
                        <b data-postcode-search="postcode_term"></b>
                        <button class="text-button" data-postcode-search="change">Change</button>
                    </p>

                    <div class="js-hidden" data-postcode-search="results">
                        <span class="form-hint">Choose your address below.</span>

                        <div class="form-select">
                            <select class="form-select" name="postcode" id="postcode" data-val="true" data-val-required="Select an address from the drop down menu"></select>
                            <span class="arrow"></span>
                        </div>

                        <input type="hidden" name="result-saontext" data-result="saontext">
                        <input type="hidden" name="result-paontext" data-result="paontext">
                        <input type="hidden" name="result-paonrange" data-result="paonrange">
                        <input type="hidden" name="result-streetname" data-result="streetname">
                        <input type="hidden" name="result-locality" data-result="locality">
                        <input type="hidden" name="result-town" data-result="town">
                        <input type="hidden" name="result-county" data-result="county">
                        <input type="hidden" name="result-postcode" data-result="postcode">
                        <input type="hidden" name="result-uprn" data-result="uprn">
                    </div>

                    <div class="js-hidden" data-postcode-search="fallback">
                        <p class="indent-error-message">Please type your address below.</p>

                        <div class="form-group">
                            <label for="building-and-street" class="form-label-bold">Building and street</label>
                            <input type="text" class="form-control" id="building-and-street" name="building-and-street" data-address="building-and-street">
                        </div>

                        <div class="form-group">
                            <label for="town-or-city" class="form-label-bold">Town or city</label>
                            <input type="text" class="form-control" id="town-or-city" name="town-or-city" data-address="town-or-city">
                        </div>

                        <div class="form-group">
                            <label for="county" class="form-label-bold">County <span class="unbold">(optional)</span></label>
                            <input type="text" class="form-control" id="county" name="county" data-address="county">
                        </div>

                        <div class="form-group">
                            <label for="postcode" class="form-label-bold">Postcode</label>
                            <input type="text" class="form-control" id="postcode" name="postcode" data-address="postcode">
                        </div>
                    </div>
                </div>

                <div class="form-group" data-postcode-search="button">
                    <button class="button">Search for address</button>
                </div>
            </fieldset>
        </div>
    </fieldset>

    <fieldset class="inline">
        <legend>
            <span class="form-label-bold">
                Are you applying for the child to move school because they are moving house? 
            </span>
        </legend>

        <div class="form-group form-group-compound">
            <label class="block-label" data-target="child-move-fields" for="child-move-yes">
                <input id="child-move-yes" type="radio" name="child-move" value="Yes">
                Yes
            </label>

            <label class="block-label" for="child-move-no">
                <input id="child-move-no" type="radio" name="child-move" value="No">
                No
            </label>
        </div>

        <div class="panel-indent js-hidden" id="child-move-fields">
            <fieldset class="postcode-search">
                <div class="form-group">
                    <label class="form-label-bold" for="postcode">Address child is moving to</label>
                    <span class="form-hint">Postcode</span>
                    <input class="form-control half-width" id="postcode" type="text" data-postcode-search="search_term">

                    <p class="postcode-term-change js-hidden" data-postcode-search="postcode_term_change">
                        <b data-postcode-search="postcode_term"></b>
                        <button class="text-button" data-postcode-search="change">Change</button>
                    </p>

                    <span class="field-validation-error" data-valmsg-for="postcode" data-valmsg-replace="true"></span>

                    <div class="js-hidden" data-postcode-search="results">
                        <span class="form-hint">Choose your address below.</span>

                        <div class="form-select">
                            <select class="form-select" name="postcode" id="postcode" data-val="true" data-val-required="Select an address from the drop down menu"></select>
                            <span class="arrow"></span>
                        </div>

                        <input type="hidden" name="result-saontext" data-result="saontext">
                        <input type="hidden" name="result-paontext" data-result="paontext">
                        <input type="hidden" name="result-paonrange" data-result="paonrange">
                        <input type="hidden" name="result-streetname" data-result="streetname">
                        <input type="hidden" name="result-locality" data-result="locality">
                        <input type="hidden" name="result-town" data-result="town">
                        <input type="hidden" name="result-county" data-result="county">
                        <input type="hidden" name="result-postcode" data-result="postcode">
                        <input type="hidden" name="result-uprn" data-result="uprn">
                    </div>

                    <div class="js-hidden" data-postcode-search="fallback">
                        <p class="indent-error-message">Please type your address below.</p>

                        <div class="form-group">
                            <label for="building-and-street" class="form-label-bold">Building and street</label>
                            <input type="text" class="form-control" id="building-and-street" name="building-and-street" data-address="building-and-street">
                        </div>

                        <div class="form-group">
                            <label for="town-or-city" class="form-label-bold">Town or city</label>
                            <input type="text" class="form-control" id="town-or-city" name="town-or-city" data-address="town-or-city">
                        </div>

                        <div class="form-group">
                            <label for="county" class="form-label-bold">County <span class="unbold">(optional)</span></label>
                            <input type="text" class="form-control" id="county" name="county" data-address="county">
                        </div>

                        <div class="form-group">
                            <label for="postcode" class="form-label-bold">Postcode</label>
                            <input type="text" class="form-control" id="postcode" name="postcode" data-address="postcode">
                        </div>
                    </div>
                </div>

                <div class="form-group" data-postcode-search="button">
                    <button class="button">Search for address</button>
                </div>
            </fieldset>
            <br>
            <div class="form-group">
                <fieldset>
                    <legend>
                        <span class="form-label-bold">
                            Date of move
                        </span>
                    </legend>

                    <div class="form-date form-group form-date-group" data-grouped-inputs>

                        <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Day" data-valmsg-replace="true"></span>
                        <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Month" data-valmsg-replace="true"></span>
                        <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Year" data-valmsg-replace="true"></span>

                        <span class="form-hint">For example, 31 03 2016</span>
                        <div class="form-group-day" data-grouped-input>
                            <label for="Child.DateOfMove.Day">Day</label>
                            <input maxlength="2" class="form-control" data-val="true" data-val-number="The field Day must be a number." data-val-range="Day must be between 1 and 31." data-val-range-max="31" data-val-range-min="1" data-val-required="Day field is required" id="Child_DateOfMove_Day" name="Child.DateOfMove.Day" type="text" pattern="[0-9]*" inputmode="numeric">
                        </div>

                        <div class="form-group-month" data-grouped-input>
                            <label for="Child.DateOfMove.Month">Month</label>
                            <input maxlength="2" class="form-control" data-val="true" data-val-number="The field Month must be a number." data-val-range="Month must be between 1 and 12." data-val-range-max="12" data-val-range-min="1" data-val-required="Month field is required" id="Child_DateOfMove_Month" name="Child.DateOfMove.Month" type="text" pattern="[0-9]*" inputmode="numeric">
                        </div>

                        <div class="form-group-year" data-grouped-input>
                            <label for="Child.DateOfMove.Year">Year</label>
                            <input maxlength="4" class="form-control" data-val="true" data-val-number="The field Year must be a number." data-val-range="Day must be between 1980 and 2014." data-val-range-max="2014" data-val-range-min="1980" data-val-required="Year field is required" id="Child_DateOfMove_Year" name="Child.DateOfMove.Year" type="text" pattern="[0-9]*" inputmode="numeric">
                        </div>

                    </div>
                </fieldset>
            </div>
            <div class="form-group">
                <legend>
                    <span class="form-label-bold">
                        Upload
                    </span>
                </legend>
                <label for="upload-copy-of-posting">
                    <span class="form-label">We need proof of the move, such as a tenancy agreement, before we can offer a school place. Uploading it now will help speed up your application or you can send it to us separately by:<br><br>
                    Email to <a href="mailto:admissions@medway.gov.uk">admissions@medway.gov.uk</a><br><br>Post to Student Services, Medway Council, Gun Wharf, Dock Road, Chatham ME4 4TR</span>
                </label>
            </div>
            <div class="form-group">
                <div class="form-upload-button">
                    <span class="button">Browse and upload file</span>
                    <input type="file">
                    <span class="file-name"></span>
                </div>
            </div>
        </div>
    </fieldset>

    <div class="form-step-buttons">
        <a href="form_1" class="button">Previous</a>
        <button type="submit" class="button">Continue</button>
    </div>

</div>
</form>