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Student Name
Type of Funding (Required)
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Select Type of Funding
If you are eligible for funding, what benefit do you receive?
Student Finance
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If you are eligible for funding, what benefit do you receive?
If you are eligible for funding, what benefit do you receive?
Student Finance
Universal Credit
Working Tex Credit
If you are eligible for funding, what benefit do you receive?
Child's Date of Birth
Child's Gender
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Child's School
Child's Year Group
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Year 09
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Year 08
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If your child has an EHCP, please provide as much detail as possible.
If your child has any special educational needs or disabilities, please specify.
If your child has any allergies, please provide as much information as possible.
If your child has any medical conditions or health concerns, please provide as much information as possible.
Any additional information you would like to share with us.
Does your child get 1-2-1 support in school?
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Yes
Does your child get 1-2-1 support in school? Select One
Name and telephone number of the person collecting your child
What day would you like to enrol your child onto?
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