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{"sheet":"Instructions","index":0,"n_rows":10,"n_cols":1,"rows_kept":10,"cut":false,"hidden":false,"merged":[]}
["Making significant changes to an open academy: Tier 3 Applications"]
["Who can use this form \n\nThis form is for academy trusts wishing to propose:\n\n• a tier 3 change (listed in part B of this form) to an existing academy; or \n\n• any change that has been escalated (from tier 1) by the Department's Regions Group. Escalation could, for example, be due to a significant risk having been identified, or because the proposed change sets a precedent or is potentially contentious. \n\nLocal authorities should not complete this form, even if the change is being proposed at their request."]
[]
["What this form can be used for  \n\n•\tThis form should only be used to apply for tier 3 changes (single or multiple) to one academy. \n•\tTo make changes to multiple academies, you need to submit one for each academy. The same consultation summary may be used for each application if a joint consultation has been conducted."]
[]
["Before you start\n \n You should:  \n\n•\tread the relevant guidance: gov.uk/government/publications/making-significant-changes-to-an-existing-academy, and \n•\tensure that you meet the relevant pre-application requirements as listed under the section 'Pre-applications requirements'. "]
[]
["How to submit your application\n\nPlease complete all sections of this form and submit as an email attachment, alongside any additional information, to SignificantChange.ACADEMIES@education.gov.uk. You should include the academy name and URN in the subject line of your email.\n\nProposals for change MUST be submitted in advance of the change being made. Failure to do so could constitute a breach of the funding agreement."]
[]
["Information provided in this application form, including personal information, may be subject to publication or disclosure in accordance with the Freedom of Information Act 2000, Environmental Information Regulations 2004 or the Data Protection Act 1998. The Department for Education will process your personal data (name and address and any other identifying material) in accordance with the Data Protection Act 2018, and your personal information will be used to process your significant change application. \n\nYou can read more about what the Department for Education does when we ask for and hold your personal information in our personal information charter available here: www.gov.uk/government/organisations/department-for-education/about/personal-information-charter. \n\nThe relevant privacy notice can be read here: www.gov.uk/government/publications/privacy-information-education-providers-workforce-including-teachers "]

{"sheet":"Part A - Proposal details","index":1,"n_rows":63,"n_cols":1,"rows_kept":63,"cut":false,"hidden":false,"merged":[]}
["Academy trust details "]
["All details must be completed"]
[]
["Name of academy trust"]
["Trust companies house number\nYou can find this on find-and-update.company-information.service.gov.uk"]
["Name of academy "]
["Academy unique reference number (URN) \nYou can find this on get-information-schools.service.gov.uk"]
["Local authority"]
["Date of Ofsted inspection\n(If this academy has not been inspected by Ofsted, then please provide the Ofsted inspection outcome of the predecessor maintained school)"]
["Overall Ofsted inspection\nIf Ofsted rating is requires improvement or inadequate, please complete rows 22-23\n(If this academy has not been inspected by Ofsted, then please provide the Ofsted inspection outcome of the predecessor maintained school)"]
["Main contact name and role (this should be the Trust Chair, CEO or Accounting Officer)"]
["Email Address"]
["Telephone"]
["Other name and email address (for any other people who should be contacted about this application) "]
["Have you read the guidance before completing this application form?\nGuidance can be viewed here: https://www.gov.uk/government/publications/making-significant-changes-to-an-existing-academy"]
[]
["Type of change "]
["If 'Escalated from Tier 1' (by Regions Group) is selected please state the type of change here"]
["Are you requesting additional changes? If so please tell us which changes"]
["Are you submitting this proposal in advance of the change being made?\nIf yes please explain why"]
["Effective date of proposed change \nDD/MM/YYYY"]
["FOR APPLICATIONS WHERE OFSTED RATING IS 'REQUIRES IMPROVEMENT' OR 'INADEQUATE' ONLY (not required if application amalgamation, de-almalgamation or faith related changes);"]
["Will you continue to meet the Independent School Standards (ISS) ‘Part 5: Premises of and accommodation at schools’ following implementation of the change?\nThe Independent School Standards (ISS) apply to academies as independent schools. An academy must continue to meet the ISS following any significant change that is also a Material Change (as specified in section 162 of the Education Act 2002). Guidance on the ISS can be found here: www.gov.uk/government/publications/regulating-independent-schools"]
["Will the proprietor continue to ensure compliance with the Regulatory Reform (Fire Safety) Order 2005 following implementation of the change? \nThe Regulatory Reform (Fire Safety) Order 2005 sets out requirements as to the taking of fire precautions, the provision of equipment, training and information and so on, as applicable to schools and other establishments. Fire safety guidance can be found here: www.gov.uk/government/collections/fire-safety-legislation-guidance-for-those-with-legal-duties"]
["If you answered 'no' to either of the above, please explain."]
["FOR APPLICATIONS TO DE-AMALGAMATE ONLY please complete the following (please note it is not possible for a 16-19 academy to be created by a de-amalgamation);"]
["Is the original school site remaining open?"]
["Overall, will the same number of pupils be provided for?"]
["Will the same curriculum be delivered? The provision delivered by the existing and additional school, collectively, should not significantly deviate from the provision of the original school"]
["Will any new units be added?"]
["How will splitting the school represent a good and lawful use of the existing site or any new/additional sites (if applicable)?"]
["What education/organisational benefits would be delivered/addressed through splitting the school?"]
["How will the additional school(s) meet all the departmental expectations for new schools?"]
["Do you need to apply for religious designation of the 'new school'? "]
["Do the school's admission arrangements  require variation? If yes, please state how in Part C. "]
["Details needed to register the new school "]
["New school name, address, telephone number and email address (if more than one new school/location, include details of each other new school/location)"]
["Age range"]
["Capacity (number of school places that can be physically accommodated)"]
["Gender composition"]
["Accommodation provided (if applicable)"]
["Types of SEN specifically organised (if applicable)"]
["Religious ethos (if applicable)"]
["Trust name, address and telephone number (if different)"]
["Name and registered office address of proprietor (if different from trust)"]
["Name and address of each trust member (if different)"]
[]
["To enable the appropriate registration of any new school/s created as a result of de-amalgamation, the following information MUST be provided in relation to the new school/s:"]
["• A plan showing the layout of the premises and accommodation of all buildings"]
["• Detailed curriculum plans, schemes of work for every subject and year group taught and pupil assessment procedures"]
["• A copy of the school’s written policies on:"]
["   o Behaviour, setting out amongst other matters, the sanctions to be adopted in the event of pupil misbehaviour;"]
["   o Particulars of the school’s arrangements to safeguard and promote the welfare of pupils at the school and how those arrangements have regard to guidance issued by the Secretary of State;"]
["   o Particulars of the school’s anti-bullying strategy;"]
["   o Health and Safety;"]
["   o The school’s complaints procedure."]
[]
["FOR APPLICATIONS TO OBTAIN, CHANGE OR REMOVE FAITH DESIGNATION the following information MUST be provided with this application:"]
["(a) Evidence that the conduct of the school or the provision of education is or will be in accordance with the tenets of one or more religions or religious denominations; and"]
["(b) If available, provide any one of the following (with evidence if available):"]
["   (i) Confirmation that some or all of the premises currently occupied by the school were provided on trust in connection with the conduct of an educational institution or the provision of education in accordance with the tenets of one or more religions or religious denominations;"]
["   (ii) Confirmation that at least one member of the governing body is appointed as a governor to represent the interests of one or more religions or religious denominations. This could be a member of the trust’s board; or"]
["   (iii) Confirmation that the governing instrument of the school provides that the conduct of the school or the provision of education at the school must be in accordance with the tenets of one or more religions or religious denominations. The ‘governing instrument’ could be the trust’s articles of association."]

{"sheet":"Part B - Local consultation","index":2,"n_rows":20,"n_cols":2,"rows_kept":20,"cut":false,"hidden":false,"merged":[]}
["Part B: Consultation and local support (to be completed for all proposals)"]
[]
["Please provide a summary of your consultation"]
[]
["Evidence to demonstrate that a fair and open local consultation has been undertaken, including: \n• the dates the consultation opened and closed\n• which groups/stakeholders were consulted\n• the engagement was undertaken e.g. meetings/leaflets etc\n"]
["Number of responses "]
["Number in favour of the change "]
["Percentage in favour of change",{"$f":"IFERROR(B7/B6,0)","v":0}]
["Details of any objections and how these will be (or have already been) managed"]
["Evidence of support from the local authority (and where appropriate the trustees of the site, the diocese or relevant diocesan board, and other relevant faith bodies) for this proposed change"]
["Evidence that the change is aligned with local pupil place planning, including the likely impact on the availability of places in the local authority and neighbouring planning areas"]
["Describe what impact (if any) the change will have on education standards at the academy, or at other local schools or colleges"]
["What the academy has done in response to any consultation responses from the local authority or bordering local authorities"]
["Are there likely to be any implications on local transport (including home to school transport) because of the change? If yes, please provide evidence that this has been discussed with the local authority"]
["If pupils will be displaced because of this change, please identify:"]
["The actions that will be undertaken by the academy and evidence that the LA has been engaged to find places for displaced pupils, including proposed arrangements for any pupils part way through their GCSE or post 16 studies"]
["The names and addresses of the schools where the displaced pupils from the academy will be offered places, including appropriate specialist provision for local authority recognised pupils"]
["Any relevant interim arrangements"]
["In the case of special academies, the appropriate alternative special provision"]
["Where proposals change SEN provision, please explain how the proposed change will be managed to ensure that it will not have a detrimental impact on local SEN provision or pupils with SEN currently in the school"]

{"sheet":"Part C - Admissions","index":3,"n_rows":10,"n_cols":1,"rows_kept":10,"cut":false,"hidden":false,"merged":[]}
["Part C: Details of admissions arrangements (to be completed for all proposals that require a variation of the current admission arrangements of the school)"]
["Please provide details of the proposed changes to the school's published admission arrangements, necessary as a result of the significant change "]
["Explain the proposed changes to the published admission arrangements (please include a copy of the admission arrangements with your application)."]
["Explain why the changes are necessary as a result of a major change in circumstances (i.e the significant change)"]
["When is it proposed the changes to the school's admission arrangements will take place?"]
["Confirm the relevant stakeholders in paragraph 1.47 of the School Admissions Code have been notified of the proposed changes to the admissions arrangements. "]
["Confirm the impact on admissions was included in the consultation (either in the significant change consultation or in a separate admissions consultation). "]
["Provide a summary of the responses to the consultation on the proposed changes to the admission arrangements (if received) including: the number of responses; the number and percentage in favour of the change and if there were any objections, how the issues raised will be (or have been) managed."]
["Does the local authority support the change?"]
["For de-amalgamations, has an LA preference exercise been conducted. If so, please include details of this exercise."]

{"sheet":"Part D - Governance ","index":4,"n_rows":7,"n_cols":1,"rows_kept":7,"cut":false,"hidden":false,"merged":[]}
["Part D: Governance structure and key people (to be completed for all cases)"]
["In addition, please provide a clear diagram showing the leadership and governance structure of the academy trust as a separate attachment."]
["Set out the experience and expertise of key people that will be involved in delivering this change e.g. to demonstrate that staff have the appropriate experience and qualifications to teach a new age-range. Please set out if any posts are still to be recruited."]
["Describe any informal arrangements in place to facilitate working with other partners and providers (please supply the names of the organisations)."]
["Demonstrate how the trust will ensure there is sufficient capability to deliver the change and ensure the longevity of the change without a negative impact on current activities."]
["Describe how the proposed changes will impact on leadership and governance arrangements."]
["Demonstrate how current arrangements are/will be made robust enough to manage the proposed change, or whether further governance changes are required - and what these will be."]

{"sheet":"Part E - Finance","index":5,"n_rows":17,"n_cols":5,"rows_kept":17,"cut":false,"hidden":false,"merged":[]}
["Part E: Financial health of the academy trust and forward financial forecast (to be completed for all cases)"]
["Please demonstrate the financial health of the academy trust (including income/expenditure, liquidity and solvency positions):"]
["The current ratio (total of current assets divided by current liabilities on balance sheet) in your most recent audited accounts (financial statement)"]
["Details of issues highlighted in most recent audited accounts/management letter and how are they being addressed"]
["Total indicative costings of the proposed change"]
["Details of how revenue costs will be met"]
["Demonstrate the impact of this change on the future financial viability of the academy and any risks to the school's financial viability because of this change and plans to mitigate these"]
["In the case of expansions (where your case has been escalated to tier 3), please demonstrate that the school will be able to manage the increase in costs due to additional pupils from the first year of implementation to steady state, due to funding being lagged by one year"]
["Only answer if your application to add new sixth form provision has been escalated to tier 3.  \n\nIf student numbers fall in the new sixth form, please demonstrate the degree of cross-subsidisation of funding from the school's other budgets, and the impact this will have on existing 11-16 education"]
["Only answer if your application to add new nursery provision has been escalated to tier 3.  \n\nPlease demonstrate how the school will ensure the provision is accounted for separately from the school's other budgets."]
[]
[null,"Current year ","Year 1","Year 2"," Year 3"]
["Balance brought forward "]
["income"]
["expenditure "]
["in year surplus / deficit"]
["Balance carried forward"]

{"sheet":"Part F - Land and Capital ","index":6,"n_rows":9,"n_cols":1,"rows_kept":9,"cut":false,"hidden":false,"merged":[]}
["Part F: Land/Capital Requirements - funding the change"]
["Does the proposed significant change require a land disposal or change of use application to the SoS? Please provide details of:\n•\tprogress made with an application \n•\tevidence in support of change of use/disposal from the landowner e.g. LA, diocese, etc. \n•\twhether a site valuation has been conducted (in the case of disposal generating a capital receipt to contribute towards capital costs)"]
["Does this proposed significant change involve any capital requirements? (For example, will the proposed change place additional pressure on or require changes to the site/buildings?) "]
["If no, please move on to next section.\n\nIf yes, please set out how these requirements will be met, e.g. the programme of capital works to be delivered"]
["Total estimated capital costs of the proposed change"]
["Works expected to be completed by (DD/MM/YY)"]
["Please explain how any capital requirements will be funded - for example, from reserves, third party contributions, or capital receipts? Please confirm the total funding secured for the project.\n\nWhere developer contributions are being used (i.e. funding secured through planning obligations/s106 agreements or the Community Infrastructure Levy (CIL)), please set out any relevant time limits or other restrictions on the use of these contributions"]
["What level of certainty is there around this funding, in particular third-party contributions and capital receipts - please provide details and evidence. If using e.g. reserves, what level of financial risk does this expose the trust to and how will this be managed?"]
["Does this proposal depend on the outcome of a bid to the Condition Improvement Fund or other programmes? If so, what is your 'plan B' to mitigate for any unsuccessful applications?"]

{"sheet":"Part G - Pupil numbers","index":7,"n_rows":10,"n_cols":10,"rows_kept":10,"cut":false,"hidden":false,"merged":[]}
["Part G: Projected pupil numbers for the academy for the next five years or to a steady state i.e. when the school will reach full capacity and become financially viable"]
["(to be completed if pupil numbers will expand due to this proposed change)"]
["Proposed build-up of pupil numbers (add further year groups if required e.g. adding primary provision)"]
[null,"Year X","Year X","Year X","Year X","Year X","Year X","Year X","Total projected pupil numbers in each year","Capacity of the academy"]
["[insert year]"]
["[insert year]"]
["[insert year]"]
["[insert year]"]
["[insert year]"]
["Please add more years/or year groups, as required where the application involves additional year groups, such as adding primary provision or where the academy is an all-through school"]

{"sheet":"Part H - Declaration and PSED","index":8,"n_rows":21,"n_cols":1,"rows_kept":21,"cut":false,"hidden":false,"merged":[[12,0,12,1]]}
["Part H: Declaration "]
["The chair of the academy trust or accounting officer MUST confirm that the information provided in this form is correct"]
["·       I hereby certify that the information entered in this form is correct"]
["·       I confirm the proposal for a significant change is being submitted in advance of the change being made"]
["·       I confirm that the academy trust has discharged its public sector equality duties in proposing this change, to ensure that the policies and practices adopted by the academy trust comply with the equality duties under the Equality Act 2010"]
["·       I understand that the academy trust is responsible for making sure that all legal requirements are met when the change is implemented"]
["·       I understand the supply of inaccurate or misleading information and failure to follow the correct procedures could constitute a breach of the funding agreement and that any changes granted by the Secretary of State as a result, will be rendered null and void."]
["Name:"]
["Role within the organisation (this must be either the chair of the academy trust, CEO of the academy trust or the accounting officer):"]
["Signature (print name):"]
["Date:"]
[]
["Public Sector Equalities Duty "]
["The chair of the academy, CEO, or accounting officer MUST confirm one of the following outcomes following the consideration of the equalities duty is correct (by writing 'Yes' in the box next the correct statement)"]
["Option 1:  The equalities duty has been considered and the Secretary of State’s decision is unlikely to affect disproportionately any particular person or group who share protected characteristics."]
["OR;"]
[]
["Option 2: The equalities duty has been considered and there are some impacts but on balance the analysis indicates these changes will not affect disproportionately any particular person or group who share protected characteristics."]
["OR;"]
["Option 3: The equalities duty has been considered and the Secretary of State’s decision is likely to affect disproportionately any particular person or group who share protected characteristics."]
["If Option 3 is selected, please explain the impact the decision will likely have on any particular person or group who share protected characteristics. "]

{"sheet":"Drop downs","index":9,"n_rows":18,"n_cols":2,"rows_kept":18,"cut":false,"hidden":true,"merged":[]}
[]
[]
[]
[null,"Expansion (increasing the physical capacity) of a mainstream academy by more than 30 places"]
[null,"Removing physical capacity from a mainstream academy by more than 30 places"]
[null,"Acquiring an additional (satellite) site"]
[null,"Change of age range, including adding/removing a nursery or sixth form provision"]
[null,"Establishing or discontinuing boarding provision"]
[null,"Change of gender composition"]
[null,"Transfer to another site"]
[null,"Increasing the planned number of pupils in a special or alternative provision academy by more than 20 pupils or more than 20% (whichever is smaller)"]
[null,"Decreasing the planned number of pupils in a special or alternative provision academy by more than 20 pupils or more than 20% (whichever is smaller)"]
[null,"Change in type of SEN (special educational needs) provision in a special academy"]
[null,"Adding a SEN unit or resourced provision to a mainstream academy"]
[null,"Removing a SEN unit or resourced provision from a mainstream academy"]
[null,"Decreasing the number of pupils within an existing SEN unit or resourced provision by 20 pupils or more than 20% of the overall school capacity (whichever is smaller)"]
[null,"Increasing the number of pupils within an existing SEN unit or resourced provision by more than 20 pupils or more than 20% of the overall school capacity (whichever is smaller)"]
[null,"Changing the type of SEN provision a SEN unit or resourced provision offers"]