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School In Year Admissions

Form 4

Select a new school

You can select up to 6 schools you would like your child to go to, in order of preference.

The first school you enter will be your first preference, the second school you enter will be your second preference and so on.

Pick one main reason for selecting this school
Upload
Browse and upload file
Date of birth
For example, 31 03 1980
Previous
<h1 class="heading-large">Select a new school</h1>

<p>You can select up to 6 schools you would like your child to go to, in order of preference.</p>
<p>The first school you enter will be your first preference, the second school you enter will be your second preference and so on.</p>

<form action="form_5" method="post">
<div class="content-block">

    <fieldset class="school-search">
        <div class="form-group">
            <label for="school">
                <span class="form-label-bold">Name of school</span>
            </label>
            <input class="form-control" id="school" type="text" name="school" data-school-search>
        </div>
        <div class="form-group">
            <button class="button" data-school-search>Find School</button>
        </div>
    </fieldset>

    <fieldset>
        <legend>
            <span class="form-label-bold">
                Pick one main reason for selecting this school
            </span>
        </legend>

        <div class="form-group form-group-compound">

             <label class="block-label" for="distance-from-school">
                <input id="distance-from-school" type="radio" name="reason-for-selection" value="Distance from school">
                Distance from school
            </label>

            <label class="block-label" data-target="medical-details" for="medical-needs">
                <input id="medical-needs" type="radio" name="reason-for-selection" value="Medical needs">
                Medical needs
            </label>

            <div class="panel-indent js-hidden" id="medical-details">
                <legend>
                    <span class="form-label-bold">
                        Upload
                    </span>
                </legend>
                <div class="form-group">
                    <label for="upload-copy-of-medical">
                        <span class="form-label">We need proof of the medical needs of your child, such as a letter from your GP or Specialist, 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><!-- .panel-indent -->

            <label class="block-label" for="faith">
                <input id="faith" type="radio" name="reason-for-selection" value="Faith">
                Faith
            </label>

            <label class="block-label" data-target="sibling-details" for="sibling-goes-here">
                <input id="sibling-goes-here" type="radio" name="reason-for-selection" value="Sibling goes here">
                Sibling goes here
            </label>

            <div class="panel-indent js-hidden" id="sibling-details">

                <div class="form-group">
                    <label for="sibling-first-name">
                        <span class="form-label-bold">First name</span>
                    </label>
                    <input class="form-control" id="sibling-first-name" type="text" name="sibling-first-name">
                </div>

                <div class="form-group">
                    <label for="sibling-last-name">
                        <span class="form-label-bold">Last name</span>
                    </label>
                    <input class="form-control" id="sibling-last-name" type="text" name="sibling-last-name">
                </div>

                <div class="form-group">
                    <fieldset>
                      <legend>
                        <span class="form-label-bold">
                          Date of birth
                        </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 1980</span>
                        <div class="form-group-day"  data-grouped-input>
                          <label for="Child.DateOfBirth.Day">Day</label>
                          <input 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_DateOfBirth_Day" name="Child.DateOfBirth.Day" type="text" pattern="[0-9]*" inputmode="numeric">
                        </div>

                        <div class="form-group-month"  data-grouped-input>
                          <label for="Child.DateOfBirth.Month">Month</label>
                          <input 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_DateOfBirth_Month" name="Child.DateOfBirth.Month" type="text" pattern="[0-9]*" inputmode="numeric">
                        </div>

                        <div class="form-group-year"  data-grouped-input>
                          <label for="Child.DateOfBirth.Year">Year</label>
                          <input 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_DateOfBirth_Year" name="Child.DateOfBirth.Year" type="text" pattern="[0-9]*" inputmode="numeric">
                        </div>

                      </div>
                    </fieldset>

                  </div>

                <div class="form-group">
                    <label class="form-label-bold">Gender</label>
                    <fieldset class="inline">
                        <label class="block-label" for="gender-male">
                            <input id="gender-male" type="radio" name="Child.Gender.Thing" value="Male"> Male
                        </label>

                        <label class="block-label" for="gender-female">
                            <input id="gender-female" type="radio" name="Child.Gender.Thing" value="Female"> Female
                        </label>
                    </fieldset>
                </div>

            </div><!-- .panel-indent -->

        </div>

        <div class="form-group">
            <label for="other-details">
                <span class="form-label-bold">If there are any other important reasons for selecting this school, use this box to tell us</span>
            </label>
            <textarea data-auto-size data-char-count="500" class="form-control form-control-1-1" name="other-details" id="other-details" rows="3"></textarea>
        </div>

    </fieldset>

    <div class="form-group">
        <a href="#" class="button test-simulate-add-another-school">Add another school</a>
    </div>

    <div class="form-step-buttons">
        <a href="form_3" class="button">Previous</a>
        <button type="submit" class="button">Continue</button>
    </div>

</div>
</form>