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Chancery Education Trust Key Worker Form
Please only complete this form if you are a key worker and you are a single parent, or if BOTH parents/carers are key workers.
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* Indicates required question
Which school does your child attend?
*
Choose
Pickhurst Academy
Davidson Primary Academy
Darrick Wood Infant & Nursery School
What is your name
*
Your answer
What is your home telephone number
Your answer
What is your mobile telephone number
*
Your answer
What is your email
*
Your answer
What is your work email
*
Your answer
What is the name and year group of your child(ren)? (Please provide this information for all your children)
*
Your answer
Which of the following services do you work in? NOTE: You will be required to provide proof, such as a copy of your work ID badge
*
Choose
The National Health Service
Emergency Services
Food Delivery Services
Pharmacy Services
Social Work
Care Work
Teacher
Other
What is your key worker job title?
*
Your answer
Are you able to access child care? (please delete as necessary) NOTE: Schools may have limited capacity in terms of staffing so please consider if you can care for your children at home
*
Yes
No
Please tick this box to acknowledge that completion of this form does not guarantee access to school provided child care.
*
Yes
Required
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