KS2 LINK referral 
Educational Diversity Link (placement with reintegration) referral for young people in need of short term early intervention that leads to positive behaviour change.
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Email *
Please confirm that you understand the placement would be for 12 weeks, which includes reintegration time.                                                                                                       *
Referring school *
School link contact name and email address *
Name of Young Person *
Young person's date of birth *
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Parent contact details (name, address, phone and email) *
Current KS2 year group *
Is the young person... *
Required
If the young person has been identified as having SEND, what is the primary category of SEND? *
Required
Attendance to date and comments about attendance *
Is the Pupil Welfare Officer involved?
Clear selection
Details of their current learning and progress (GL Assessment / Teacher assessment). Please use previous attainment data to support patterns/ trends.
Details of the presenting behaviours and impact on learning.  What gives you the greatest concern? How long has this been the case? *
Do you think the behaviour change is linked to any significant life event?
What are the child's views about their behaviour/ this placement offer?
What is the young person really good at/ enjoys doing?
Why do you think LINK (placement with reintegration) would be helpful?
What strategies have you already used for this young person? (plan, do review)
Agencies/services involved *
Required
Please provide a summary of recommendations from support services that have been implemented and their impact
McSherry Readiness Scale for Reintegration
This is a key tools used to inform of a child's progress and readiness for reintegration. Completing the form will help us to target key focus areas from the outset, and measure progress. Here is the form (you'll need to make a copy and send to the email below)
https://docs.google.com/spreadsheets/d/1CZO92aojKIps59QlWPDEHrBEir309y_w-E498vo0u94

Once completed, please email as soon as possible to  KS2LINKreferral@eddiversity.blackpool.sch.uk   

If you are having difficulty accessing the document, please email.

Please place any reports and assessment data relevant to this referral into a folder and provide the link below.
Any other information
Parental views - Please provide details of how the parent / carer feels about LINK (placement with reintegration) and how they feel about their child's behaviour
Please confirm that the parents / carers are happy for us to speak to other agencies such as CAMHS or the Behaviour Advisory Teachers to gain a fuller picture of need if necessary.
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