Alleyn's School

Townley Road, Dulwich, London SE22 8SU

Application for admission in September 2019 at 16+

Applications are accepted between 1st September and midday on the 19th October 2018. Please answer all questions in full

Fields marked with a * are required, please make sure these are completed.

Candidate's Details

Nationality & Language

Please confirm the candidate's nationality

If you select a non-EEA nationality, please note that unless you have made a written request for the School to sponsor the candidate under Tier 4, completion of this form represents your confirmation and representation that the candidate has the unconditional right to enter, live and study in the UK for the duration of the education offered by the School. Failure to give correct information will constitute a material breach of any agreement/s entered into between the School and you in relation to the education of the candidate, entitling the School to terminate all and any such agreement/s without any obligation to return any deposit or fees paid.

Candidate's first language

Parent 1 Details

To whom initial contact will be made unless otherwise indicated

Email and Contact Numbers

Please supply at least one phone number.

Parent 2 Details

Email and Contact Numbers

Please supply at least one phone number.

Candidate Lives With

Alleyn's Connection

Scholarships & Bursaries

Candidates should show evidence of real musical ability and offer at least two instruments, or voice and one instrument. It is not essential for candidates to have taken music examinations but, as a guide, the standard expected on the principle instrument corresponds to at least Grade VII at 16+.

Auditions will take place on Saturday 23 November 2019.Candidates will be asked to play two short, but contrasting, pieces on their principal instrument and to play one other piece on their second instrument.

Sight reading tests will be given on the candidate’s principal instrument, and ear tests will be given on pitch, rhythm and general aural response. Candidates will be asked to sing a song of their own choice and to talk about their musical and general interests.

Please provide the following information:

Principal Instrument

Second Instrument

Third Instrument

Please provide any other information which might be helpful, including solo, chamber, orchestral and choral experience, theory exam passes, other musical achievements, activities and special interests.

To complete this application for a Music Scholarship audition, you must also provide a written recommendation from your child’s instrumental teacher(s) and, where relevant, their current school’s Head of Music. Please gather this information and email it, no later than Friday 8th November, to:

Candidates selected for audition will receive further details shortly before Christmas.

Candidate's present school

Medical & Dietary Information

Entrance Examination Concessions & Access Arrangements

Requests for examination concessions must be accompanied by a specific written recommendation from an appropriately-qualified and registered professional (eg educational psychologist) following his/her assessment of the candidate. Please gather this information and email it, no later than midday on 8 November to:

To Be Completed By The Student


GCSE Courses

Please give details of all the GCSE courses you are following and include any module results, where appropriate

Subject Choices for Year 12

All students in the Upper School at Alleyn's study a core of either 3 main subjects alongside another option (such as an EPQ) or 4 main subjects.

Please state the 3 or 4 subjects you hope to study in Year 12 in order of preference. If you are called for interview, you will be interviewed in three of the subjects you list here and, if offered a place, your offer will be made in the basis of these subjects.

Personal Statement

We would like you to write a little about yourself to give us some background to your application. Your personal statement will be used as part of the selection procedure to judge which candidates we call for interview, alongside your performance in the entrance assessments.

You may wish to include information on:

  • Why you have applied to Alleyn's?
  • Why you want to study the subjects you have selected? Include anything else you would like to tell us about your subject options (e.g. if any of the other options we offer are of interest to you).
  • What you hope to do having completed your A levels? For example, any long term career ambitions you have.
  • School activities you are involved in (e.g. drama, music, sports etc. and any responsibilities you have).
  • Out of school activities and interests.

The personal statement MUST be your own work, written in your own words and no more than 350 words.

Examination Dates

The scholarship and entrance examinations will take place at Alleyn's on: Saturday 9th November 2019

Important Information

Registration Deadline

The registration period will close at midday on Friday 19th October 2018. We are unable to accept any applications received after this deadline.

Registration Fee

There is a non-refundable fee of £100 (£200 for candidates resident abroad).

If your child qualifies dor the Pupil Premium, please tick the box in the Final Confirmation section below; the registration fee is not payable in these circumstances but we will ask you to provide us with documentation to confirm the Pupil Premium status.

Entrance Examinations and Interviews

Please note that your child will sit the entrance examination at Alleyn’s School. By registering, you confirm that your child is available to attend Alleyn’s on the published examination, assessment, audition and interview dates. Please contact the registrar if there are any subsequent problems with your child’s availability on these dates.

We do not divulge the results of the entrance examinatiions.


Most 16+ admissions communications will be sent via email. We will use the email address you have provided for Parent 1. Please check this email address regularly during the admissions process.

Standard Terms and Conditions and Data Protection

The School's Data Protection policy provides information on how the School processes personal data. We will use the information provided in this form to manage and assess your application and your child's suitability for a place at the School.

For example:

  1. we will contact your child's current or previous school to ask for a reference;
  2. Special Educational Needs information will be used to ensure that we have made any reasonable adjustments/suitable arrangements for your child when they visit the School or during any entrance assessments and subsequently if they are offered a place.

If your child is not offered a place, or if you do not accept the offer of a place, we will not retain this information after the end of the admissions process.

Final Confirmation

Please indicate if your child qualifies for the Pupil Premium. The registration fee is not payable in these circumstances but you will need to provide documentation confirming this.

On submitting this form, our Wisepay payment form will open in a new tab/window. Once you have received confirmation of your payment from WisePay, your child's registration in complete. If you have indicated that you need to upload documentation, we will provide you with a login to our documentation portal.

If you have any enquiries please contact the registrar at or 020 8557 1478.

"We advise you to print this application form before submitting."