Riverbank Keyworker School Spaces

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This form is to establish the details for your request for your child to have a supported space in school. Once we have received the form and reviewed the information, we will get back to you as soon as possible. We are currently prioritiing category 1 & 2 parents and may not be in a position to offer places for category 3 parents.

Your child/children's name(s):

Your child/children's class(es):

Reason you are applying for a space:

Both parents/carers are keyworkers

I am a single parent and a keyworker

Clear selection

Which days are you requiring a school space? Please provide details of shift patterns etc. A space can only be provided on days when you (both) are working.

Parent/carer name:

Please provide your contact details.

Which category do you work in? Please select appropriate category.

Category 1

Category 2

Category 3

Clear selection

What is your job title?

Please provide the name and address of your place of work.

What does your work include?

Please provide your line manager's name and contact details who can support confirmation of your role as a key worker.

Second parent/carer name if applicable:

Which category do they work in?

Category 1

Category 2

Category 3

Clear selection

What is their job title?

Please provide the name and address of their place of work.

What does their work include?

Please provide their line manager's name and contact details who can support confirmation of your role as a critical worker.

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