Onwards & Upwards referral form 2024

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The Family Hub Service and SEMH & Behaviour Service will be delivering the Onwards and Upwards Summer Transitions Programme for up to 16 young people moving to secondary school in September 2024.

Before making referrals, please confirm availability with parents/carers before submitting to ensure children can attend all three days provision.

To build the dynamics of the group, up to two places will be offered per school to suitable referrals. Any additional referrals made will be added to a reserve list.

Each referral will be assessed with each referrer being contacted with an update whether it has been accepted or not.

Closing date: Friday 17th May 2024

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E-postadresse *

Name of referrer *

Role of referrer *

Is the family aware of the referral and have they agreed to their child attending all three days of the programme? *

Yes

Young Person's Name *

Current School *

Transferring School *

Date of birth *

Gender (Identifies as...) *

Female

Male

Prefer not to say

Andre:

Ethnicity

Home language

Home address *

Full name of parents/carers *

Main contact number of parent/carer *

Additional contact number parent/carer

Main email address for parent/carer *

Is the young person currently receiving support from Local Authority agencies? *

Early Help

Child In Need

Child Protection

Child In Care

Andre:

Does the young person currently have or in the process for an Education Health and Care Plan? *

Yes

Is the parent/carer able to transport the young person to the venue? *

Yes, parent/carers able to provide transport.

No, further discussion needed with the family regarding transport options.

Are the parents/carers currently in the Armed Services? *

Yes

Is the young person eligible for free school meals? *

Yes

Is the young person a Young Carer? *

Yes

Is the young person receiving Pupil Premium? *

Yes

What is the young person's current attendance percentage? *

1. Please provide details of support you have made for the young person in your setting in last academic year (such as ELSA, IEP, Pastoral Support, Nurture Group, ERSA) *

2. Onwards and Upwards is a tailored programme: Please select what areas of intervention would be helpful for the young person?

Building friendships/meeting new people

Organisational skills

Managing Emotions

Building resilience and increasing confidence

Communication Skills

3. What outcomes for the young person are you seeking from Onwards and Upwards? Please tell us what positive differences you would like to see following the programme. *

Thank you for completing the Onwards & Upwards referral.

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