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APPLY FOR YEAR 12

Please click below to view the Year 12 introductory video

This form must be returned to: Year 12 Admissions, Elutec Academy, Yew Tree Avenue, Rainham Road South, Dagenham East, RM10 7FN or [email protected]

Applications open for September 2023

Child's Details

Main home address

Education Details

Additional Information

Special Educational Needs

Does your child have a Statement of Special Educational Needs or an Education and Healthcare Plan?
Does your child have any other needs you feel we should know about?

NON – UK APPLICANTS

Is the child in the country now?
How Did You Hear About Us

Reference Request Details

Please provide details of a referee from your current school (e.g. Teacher, Head of Year etc.)

Parent / Carer Details

Main contact

Parental Declaration