Is this a health school? yes no Is this a special school? yes no Is the student enrolled at the school under section yes no S.9 Number ___________________ 9? Is this school or satellite the closest age/gender yes appropriate school to the student’s primary no residence? N/A (attending a special school under an agreement under Section (Please note: SESTA assistance is normally only 9 of the Education Act 1989 or a directed enrolment under available to the closest school as per page 1, Section 11P of the Education Act 1989) although for the purposes of SESTA, a school is deemed if a student is attending under a “closest” directed enrolment.) If no, why does the student not attend their closest Student has been excluded from the closest school(s) school? Parental choice Please tick as many boxes as appropriate and Other (please explain): provide information to explain your reasons. (S2) yes no Will this student need to travel from home to attend another satellite/off site location? What is the satellite/off site name and address? What is the distance by road from the student’s main address? Weekly Itinerary (Not required if application is for conveyance allowance for the full week) Travel is generally to and from school but may include routine travel to different home addresses, respite or care. Travel to respite care can only be provided in situations approved by the Ministry. Please enter residences, schools and special facilities by the code assigned to them in the previous sections of this form, e.g. residences as R1, R2; schools as S1, S2. Please also enter departure and arrival locations and estimated arrival/pick up times on applicable days in the table below. Example of Weekly Itinerary: Trip From To School start/finish time Monday am R2 S1 8.45 am Monday pm S1 R1 3.00 pm In this example, the student was picked up from respite address (R2) by taxi/van/bus to arrive at their main school (S1) at . They were picked up from the school at 3.30 pm by vehicle, and returned to their main residence (R1). Trip From To School start/finish time Conveyance Vehicle Required allowance only Required Monday am pm
Is this a health school? Is this a special school? Is the student enrolled at the school under section 9? yes no yes no yes no S.9 Number ___________________ Is this school or satellite the closest age/gender appropriate school to the student’s primary residence? (Please note: SESTA assistance is normally only available to the closest school as per page 1, although for the purposes of SESTA, a school is deemed “closest” if a student is attending under a directed enrolment.) yes no N/A (attending a special school under an agreement under Section 9 of the Education Act 1989 or a directed enrolment under Section 11P of the Education Act 1989) If no, why does the student not attend their closest school? Please tick as many boxes as appropriate and provide information to explain your reasons. Student has been excluded from the closest school(s) Parental choice Other (please explain): (S2) Will this student need to travel from home to attend another satellite/off site location? yes no What is the satellite/off site name and address? What is the distance by road from the student’s main address? Weekly Itinerary (Not required if application is for conveyance allowance for the full week) Travel is generally to and from school but may include routine travel to different home addresses, respite or care. Travel to respite care can only be provided in situations approved by the Ministry. Please enter residences, schools and special facilities by the code assigned to them in the previous sections of this form, e.g. residences as R1, R2; schools as S1, S2. Please also enter departure and arrival locations and estimated arrival/pick up times on applicable days in the table below. Example of Weekly Itinerary: Trip From To School start/finish time Monday am R2 S1 8.45 am Monday pm S1 R1 3.00 pm In this example, the student was picked up from respite address (R2) by taxi/van/bus to arrive at their main school (S1) at . They were picked up from the school at 3.30 pm by vehicle, and returned to their main residence (R1). Trip From To School start/finish time Conveyance allowance only Required Vehicle Required Monday am pm