Number Champions Child Selection form 2023/24

Please complete a form for each child

Please give the child’s first name only (where necessary adding the minimum leading letters of the surname to identify the child uniquely).

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Email *
School *
Child's first name
 *
Year Group *
Class name
 *
Teacher
 *
Gender 
 *
Quarter of birth
 *
Please indicate if the child is not in their normal year group, i.e. old for the year
Disadvantage: [this data is not shared with the volunteer] Please indicate if: *
EAL: Does the child have English as an Additional Language? *
Volunteer name (if known)
Please indicate if any of following statements apply *
Required
Age-related expectations: The child is currently *

In what way does the child’s attainment in maths fall behind age-related expectations? 

 *
Which areas of the maths curriculum do they find difficult? 
 *

What are realistic targets for improvement?  If possible reference this to specific curriculum items

 *

Is there any further information that the volunteer should be aware of?  (It may be useful to supplement this in-person with the volunteer.) This should include any conditions - such as serious allergic reactions - which can result in medical emergencies

Please indicate if the child has previously taken part in Number Champions:
A copy of your responses will be emailed to the address you provided.
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