Key Worker and Vulnerable Children - Childcare Application Form


1. Applicant Details
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I declare that the information I will provide on this form is correct and complete, and understand that any school place offer obtained through fraudulent or intentionally misleading information will be withdrawn. Under the Data Protection Act 2018, we are required to gain your permission to keep personal details for you. Achieving for Children and its agents may share this information with government and local authority departments and other authorised organisations for administrative, statistical and research purposes. Completing this form gives us your informed consent. For further information please visit:RBWM Privacy Notice & Achieving for Children Privacy Notice If you are unable to access the provided links or wish to submit a query in relation to fair processing, please contact the data protection officer at

1. Title *


2. Forename *


3. Surname *


4. Current Address *


5. Postcode *


6. Email Address *


7. Contact Number *


8. Tell us why you are a key worker? *


9. Who is your current employer? *


10. Please provide your current employer's contact email *


11. Which school/nursery does your child normally attend? *


12. Why is your child's school/nursery currently not taking them? *


13. Can you take/transport your child to school? *


14. Do you need childcare over the Easter holidays? *


15. Do you need childcare over the Easter Bank Holidays? *