Khalsa Secondary Academy Stoke Poges, South Bucks, SL2 4QP

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Khalsa Secondary Academy Stoke Poges, South Bucks, SL2 4QP

Year 7 Admission September 2018

Religious Questionnaire

If you require a translation of this document into Punjabi or another language, please contact the School Office on 01753 662009

A copy of this form is available to download from the School Website: www.khalsasecondaryacademy.com Slough Sikh Education Trust Religious Questionnaire Admission September 2018

Commitment to the Sikh faith An assessment and evaluation under Criterion 2 of the Admissions Policy. The Religious Questionnaire (RQ) must be fully completed. The form enables the Trust to assess your commitment to the Sikh faith. The Trust will be making the assessment, categorising and grading the forms. Any information which is incomplete or not submitted will jeopardise your chances of obtaining a place at the Khalsa Secondary Academy School. The evidence provided is confidential between the parent and the Trust. The Trust only informs the school of the outcome of your Religious Questionnaire grading as a mark indicating Good, Satisfactory or Insufficient as explained fully in the Admissions Policy. They do not share information about your religious beliefs.

Please remember that in the event that fraudulent information is given in the application/questionnaire, the offer of a place would be immediately withdrawn and may result in the removal of your child from the school, in accordance with the School Admission Code.

The completed form should be sent by recorded delivery (one that guarantees delivery and records the name and address of the sender, date posted and delivery address) to:

The Admissions Secretary, Slough Sikh Education Trust, P.O Box 4571, Slough, Berkshire, SL1 0WL. The closing date for receipt of the Religious Questionnaire is Noon Tuesday 31st October 2017. Do not send the Questionnaire to the School.

All Applicants Please write clearly throughout.

Section 1: Personal Details: Child’s Full name Surname

First Name

Date of Birth:

Current Home Address:

The parent completing the form is:

Sikh:

Yes

No

Middle Name

Commitment to the Sikh Faith

Section 2: 3 Pillars of Sikhi – Please state what you understand by them and how you uphold them in your daily life: Official Use: (Please leave Blank)

a) Naam Japna

b) Kirat Karni (Do not state your occupation.)

Official Use: (Please leave Blank)

Commitment to the Sikh Faith Section 2 Continued:

3 Pillars of Sikhi – Please state what you understand by them and how you uphold them in your daily life:

b) Vand Ke Chakhna, what Seva have you or your child participated in? (This could be within or outside the home.) Please give 3 examples:

Commitment to the Sikh Faith Section 2 Continued: General Questions What is your understanding of the Sikh ethos and how do you promote this within your home?

The School has regular religious functions, how will you as a family participate in?

Official Use: (Please leave Blank)

Commitment to the Sikh Faith Section 2 Continued: General Questions How do you feel your child would benefit from attending this school?

Official Use: (Please leave Blank)

Commitment to the Sikh Faith Section 3: Name of Parent: ___________________________________________________

Name of Child: _____________________________________________________

Please ask your regular/local Gurdwara Granthi/Parbandhak to complete the following statement. I confirm the above named parent and their child has been attending the Gurdwara for worship (please tick one box).

Once a Day

Once a Week

Once a Month

Less frequently 

The family participates in Seva at the Gurdwara or in the community Yes

No

Granthi’s/Parbhandak’s Signature: ___________________________________

I acknowledge that in signing this document I confirm that the information provided by me is correct and true. Print Name:________________________________

Date: ____________________________________ Gurdwara Stamp

Statement of Declaration Statements of Confirmation

Please tick box YES

relevant NO

I have read and understood the School Admissions information for Parents/Legal Guardians/Carers and the instructions in this form. (Please ask the school if you have not understood anything on this form – before signing). I have understood the admission criteria and accept that the body assessing the Religious Questionnaire is the Slough Sikh Education Trust. I understand that the Religious Questionnaire is purely to assess my evidence with regards to my commitment to my faith. I am therefore willing to provide information. I understand that the Slough Sikh Education Trust will not pass any information to Khalsa Secondary Academy regarding my beliefs apart from the final grading after the form is assessed. I understand that any false or fraudulent information provided on any document by us to Khalsa Secondary Academy or the Slough Sikh Education Trust will result in the invalidation of my application and withdrawal of a place if offered.

_______________________________ as the parent of (please insert the child’s name)

______________________________________

confirm that the information provided on this form is correct and true.

Parent’s signature: _____________________________________

Date:

_____________________________________

The completed form should be sent by recorded delivery (one that guarantees delivery and records the name and address of the sender, date posted and delivery address) to:

The Admissions Secretary, Slough Sikh Education Trust, P.O Box 4571, Slough, Berkshire, SL1 0WL. The closing date for receipt of the Religious Questionnaire is Noon Tuesday 31st October 2017. Do not send the Questionnaire to the School.