Resources into Schools - application form

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This application form is for use by parents to apply for a resource pack to support their child's learning at school, and training by a Specialist Down Syndrome Advisor for the relevant school staff members on how to use the resource, provided and funded by DS Achieve.

Once DS Achieve has received your application, you will receive an email to confirm it is being processed and a likely timeframe in which you can expect to hear something. The timeframe will depend on the level of demand at that time.

If you have any queries and would like to speak to a member of the DS Achieve team, please contact us on info@dsachieve.org or 07824 467471.

Your name: *

Your email address: *

Your contact telephone number: *

Your child's full name: *

Your child's date of birth: *

YYYY

Name and address of the school your child attends: *

Please confirm the 1) SENCO contact name, 2) SENCO contact number and 3) SENCO email address for your school. *

The name of your child's class teacher, and 1:1(s) (if applicable) *

Please tell us about TWO areas you believe your child needs support with: *

Which pieces of equipment is your child currently using at school / at home to support their learning in these two areas? *

Are any other services currently supporting your child at school? (for example, Early Years service, outreach team) *

Yes

If you answered 'yes' to the question above, please name the service(s) here and provide a name and contact number for them. We want to make sure we are not duplicating the support of another services and so will contact them to let them know a DS Advisor will be seeing your child at school and understand what they are currently providing.

Please confirm that you have discussed this application with your child's school before applying: *

Yes, my child's school is aware I am making this application to DS Achieve.

Required

Finally, please confirm you give consent to DS Achieve to hold and use the information contained within this form, and to share it with our Specialist Advisors, in order to process your application and provide this service. *

Yes, I give consent.

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