Has the child been receiving any additional SEN support? (please provide details)
Your answer
Attendance
Please give the total number of sessions absent (to the date this form is completed) for:
Current academic year:
Your answer
Previous academic year:
Your answer
Are there any reasons which may have affected attendance?
Your answer
Involvement of other services
Please indicate if the child has received support from the following: (please tick all that apply)
Other (please specify below)
Your answer
Has a Common Assessment Framework (CAF) been completed?
Clear selection
Details of any exclusions
Date
MM
/
DD
/
YYYY
Length
Your answer
Reason
Your answer
Date
MM
/
DD
/
YYYY
Length
Your answer
Reason
Your answer
Date
MM
/
DD
/
YYYY
Length
Your answer
Reason
Your answer
General questions
What are the reasons for the transfer request or the reasons for leaving? If not as a result of a change of address, how do you believe a change of school will make a difference to any current issues?
Your answer
What strategies have been put in place to support the pupil in your school?
Your answer
What strategies would you advise the receiving school to put in place?
Your answer
Are there any educational areas of concern (such as reading, writing, communication)?
Your answer
Is there any other information to enable us to consider appropriate provision for this pupil (such as domestic situation or other external factors)?
Your answer
Thank you for completing this form, please give your details below should we require any further information to assist with this application.
Name
Your answer
Title
Your answer
Phone
Your answer
Email
Your answer
Date
MM
/
DD
/
YYYY
Thank you completing this pupil information form which will be received automatically by the local authority. We will share any relevant information with the child's new school to support their transition.
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