The Atam Academy London Borough of Redbridge

2015 AA – Religious Questionnaire
The Atam Academy
London Borough of Redbridge
Reception, Year 1, Year 2 and Year 7 Admissions
September 2015
Religious Questionnaire
If you require a translation of this document into Panjabi or another language,
please contact the school administration on 020 8252 9831
A copy of this form is available to download from the School Website:
www.atamacademy.com
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2015 AA – Religious Questionnaire
The Atam Academy
Religious Questionnaire
Admission September 2015
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 t h e School to
assess your commitment to the Sikh faith.
The School 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 Atam
Academy.
The evidence provided is confidential between the parent and the S c hoo l . The school will 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application/questionnaire, the offer of a place would be immediately withdrawn and may result in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:
Admissions, Atam Academy,
P.O Box 2500, Ilford, IG1 8LE
The closing date for receipt of the Religious Questionnaire is Noon Friday 19th December 2014.
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2015 AA – Religious Questionnaire
All Applicants
Please write clearly throughout.
Section 1: Personal Details:
Child’s Full Name
Surname
First Name
Middle Name
Date of Birth
Current Home Address:
The parent completing the form is:
Sikh
Yes  No 
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2015 AA – Religious Questionnaire
Commitment to the Sikh Faith
Section 2:
1. Please list which Sikh prayers you are able to read/recite: (maximum 10 marks)
Prayer 1
(2 marks)
Prayer 2
(2 marks)
Prayer 3
(2 marks)
Prayer 4
(2 marks)
Prayer 5
(2 marks)
Official Use:
(Please leave
Blank)
2. Please give two examples of Community Service or Seva you or your child have
participated in (this could be within or outside the home): (maximum 10 marks)
1.
Official Use:
(Please leave
Blank)
5 marks
2.
5 marks
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2015 AA – Religious Questionnaire
Commitment to the Sikh Faith
Section 3:
Name of Parent:
Name of Child:
Please ask your regular/local Gurdwara Committee Member/Granthi to complete the
following statement: (maximum 10 marks)
I confirm the above named parent and their child has been attending the Gurdwara for
worship (please tick one box).
Once a Day 
(9 marks)
Once a Week

Once a Month 
(6 marks)
Less frequently 
(3 marks)
(1 mark)
The family participates in Seva at the Gurdwara or in the community Yes 
No 
(1 mark)
Gurdwara Committee Member’s/Granthi’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
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2015 AA – Religious Questionnaire
Statement of Declaration
Statements of Confirmation
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).
Please tick the
relevant box
Yes
No
I have understood the admission criteria and accept that the body
assessing the Religious Questionnaire is the Atam Academy.
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 any false or fraudulent information provided on
any document by us to Atam Academy will result in the invalidation
of my application and withdrawal of a place if offered.
I
as the parent of (please insert the child’s name)
confirm that the information provided on this form is correct and true.
Parents’ 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:
Admissions, Atam Academy, P.O Box 2500, Ilford, IG1 8LE
The closing date for receipt of the Religious Questionnaire is Noon Friday 19th December 2014.
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