Name: Class: DOB: Date: Evidence of Need – Assessments, levels Targets Primary Area of Need 1 Communication and Cognition and Interaction Learning 2 Social, Emotional, and Sensory and/or Mental Health Difficulties Physical Needs 3 Assertive Mentoring Levels (dates) Parent/Carer Signature Reading Writing Maths Child/YP Signature School Rep Signature What has made a difference? Review Date: What is in place? Continue or Change? Quality First Teaching (R/A/G rate) Child Parent/Carer School Additional Adult Target 1 Support Target 2 Additional Target 3 Interventions / Additional comments: Resources Pupils Parents/Carers Parent/Carer Signature Equipment Child/YP Signature School Rep Signature
Name: Class: DOB: Date: Evidence of Need – Assessments, levels Primary Area of Need Communication and Interaction Cognition and Learning Social, Emotional, and Mental Health Difficulties Sensory and/or Physical Needs Assertive Mentoring Levels (dates) Reading Writing Maths Targets 1 2 3 Parent/Carer Signature Child/YP Signature School Rep Signature What is in place? Quality First Teaching Additional Adult Support Additional Interventions / Resources Pupils Parents/Carers Equipment What has made a difference? Continue or Change? Review Date: (R/A/G rate) Child Parent/Carer School Target 1 Target 2 Target 3 Additional comments: Parent/Carer Signature Child/YP Signature School Rep Signature
form_ssp_2017_1.docx