ࡱ> <@9:;  Pbjbjbb Bֺ_ֺ_^{{{{{8]*8ww"ggg*******,K/*{gEE"gg*{{* gd{{* g* V'@((v4( )-*0]*@(x/A/(/{(4gg ggggg**S 4ggg]*gggg/ggggggggg A:  1. Referring School Current SchoolNamed School ContactTel. No.EmailInvoice details: Student Details NameUPN / ULNDate of BirthGenderMale / FemaleCurrent School YearEthnicityContact Address Tel. No.Email Medical Needs (please provide details) MedicalKnown Allergies Dietary RequirementsAccessibility Issues Parent / Carer Information Parent / Carer NameTel. No.EmailAdditional info eg Risks re homeLives withParent/ Carer/Guardian Education Profile Students prior attainment Key Stage 2Key Stage 3*Key Stage 4NumeracyLiteracyICTReading AgePersonal & Social DevelopmentIf information is not available, please supply a teacher assessment if available  Current Attendance (%)Authorised Absence (%)Unauthorised Absence (%)Date of last AttendanceIs the student expected to attend 5 days/week?YES / NOIf no, please provide further details: Attendance Information Exclusion history over last 12 months Dates of exclusionLength of exclusion (days)Reason for exclusionFromTo Name of SchoolsFromToDetails of any previous secondary schools attended SEND Profile Please tick all the boxes that apply to the student EHCP ( SEN Support ( Statement ( Please provide details of the students: Primary NeedSecondary NeedTertiary NeedIEP / PlanYES / NOIf yes please attachDoes the student have a specific diagnosis? (e.g. ADHD, ASD, Epilepsy, Dyslexia)YES / NODoes the student have a Risk Assessment in place?YES / NOIf yes, please attach Social Profile Is the student open to social care?YES / NOIf yes, please provide contact detailsNameTel. NoDoes the student have a CAF or other assessment info?YES / NOIf yes, please provide contact detailsName:Tel. No.Is there an active team around the child process?YES / NOIf yes, please provide contact detailsName of Lead Professional:EmailKnown IssuesSupport provided by SchoolFamily Overview (i.e. Position of child in relation to siblings, parental details etc.) Other Agency Involvement (tick all that apply) CurrentExpiredContact NameEmailYOTSocial carePoliceMalt/CAMHsTargeted SupportOther (state) Current Status Does the student fall in to a vulnerable group?YES / NOIf yes, tick all that apply Looked after ( Traveller child ( Child of asylum seeker ( Young carer ( Teenage parent ( School refuser ( Young offender ( Eligible for FSM ( Reason for Referral Please provide specific reasons for the referral Provision Details Type (please select)Full time / Part time 9-12 or 12-3Preferred Day(s) (please select)MondayTuesdayWednesdayThursdayFridayAM session 9-12PM session 12-3Flexible (specify) afterschool/weekend due to health etc Student Profile Please rate the students skills in each of the following areas ExcellentPoorAttendance1234Time Keeping1234Confidence1234Interaction with other students1234Interaction with Teachers1234General behaviour1234Attitude to home life and current situation1234Parental Attitude to1234 Risk Assessment (Strictly Confidential)SituationCommentsLevel of Risk L M HAt HomeBeing TransportedAt Place of EducationLunch times/Break timesRelationship to adultsProbability of illegal substancesProbability of self-harmProbability of carrying weaponProbability of risk to otherSelf-controlRelationship to peersHow learner adjusts to new situationsFollowing instructionsHandling stressConflict resolution skillsTaking responsibility for their own actions Pen Picture Provide details of the students interests and aspirations:Dislikes/Fears:Further Staff Comments: (In particular-could you please comment on how the learners difficulties might affect educational progress. Identify any barriers to learning).     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