Is this pupil in the process of EHCP assessment? Has an application been submitted? Is so what date was this/assigned statutory link person? EHCP pupil: YES / NO What is the EHCP for/main need? How many hours/provison is assigned to the pupil? Who from the Statutory team is aware of this referral? YOU MUST INCLUDE THE EHCP IN THE EVIDENCE FOR APPLICATION When was the pupils last annual review? YOU MUST INCLUDE THIS IN THE EVIDENCE FOR APPLICATION Looked After Pupil YES / NO ALL LOOKED AFTER PUPILS WILL Responsible authority: REQUIRE A PROFESSIONALS MEETING Social worker: AT THE TIME OF APPLICATION Contact details: What agencies have been involved with this YOU MUST INCLUDE ALL CONTACT DETAILS: pupil? Emotional Health and Wellbeing Service Child Development Centre Speech and Language Team Youth Offending Team EYPDAS Visual Impairement Team Educational Psychologist School CAPI YCT/Counselling FURTHER PUPIL INFORMATION Is there now, or has there ever been any YES / NO involvement of Children’s Social Care with this pupil or pupil’s family? Child in Need or child protection Or any concerns? When? Who? Contact details (telephone numbers and emails): Has there been any involvement with this YES / NO pupil or pupil’s family from statutory or Contact details: non-statutory agencies (e.g. MST, Family Solutions, Family Mosaic, IAG) Has the pupil had involvement with the police? Received a criminal conviction or caution? If so when and what for. BEHAVIOURS Behaviour data
Is this pupil in the process of EHCP assessment? Has an application been submitted? Is so what date was this/assigned statutory link person? EHCP pupil: What is the EHCP for/main need? How many hours/provison is assigned to the pupil? Who from the Statutory team is aware of this referral? YOU MUST INCLUDE THE EHCP IN THE EVIDENCE FOR APPLICATION YES / NO When was the pupils last annual review? YOU MUST INCLUDE THIS IN THE EVIDENCE FOR APPLICATION Looked After Pupil ALL LOOKED AFTER PUPILS WILL REQUIRE A PROFESSIONALS MEETING AT THE TIME OF APPLICATION YES / NO Responsible authority: Social worker: Contact details: What agencies have been involved with this pupil? Emotional Health and Wellbeing Service Child Development Centre Speech and Language Team Youth Offending Team EYPDAS Visual Impairement Team Educational Psychologist School CAPI YCT/Counselling YOU MUST INCLUDE ALL CONTACT DETAILS: FURTHER PUPIL INFORMATION Is there now, or has there ever been any involvement of Children’s Social Care with this pupil or pupil’s family? Or any concerns? YES / NO Child in Need or child protection When? Who? Contact details (telephone numbers and emails): Has there been any involvement with this pupil or pupil’s family from statutory or non-statutory agencies (e.g. MST, Family Solutions, Family Mosaic, IAG) YES / NO Contact details: Has the pupil had involvement with the police? Received a criminal conviction or caution? If so when and what for. BEHAVIOURS Behaviour data
Referral%20form%20TBAP%200612.docx