Part-time Timetable Consent Form Pupil UPN:………………………………………………. of Ethnicity…………………………………………….. Date Birth………………………………………Gender: ……………………………………………… Year the pupil by Swindon, or any other local authority: YES/NO Is “looked after” If yes, which local Is the authority………………………………………………………………………………… child subject to a Child Protection Plan: YES/NO Has the pupil had a part-time timetable before? YES/NO If yes – when…………………………….. Name of parents/carers: Name of lead person in school: Name of social worker (if applicable): Name of SEN caseworker (if applicable): Name of Virtual School rep (if applicable): Name of Attendance & Welfare Officer: Date of meeting agreeing the part-time timetable: Start date of part-time timetable:
Part-time Timetable Consent Form Pupil UPN:………………………………………………. Ethnicity…………………………………………….. Date of Birth………………………………………Gender: ……………………………………………… Year Is the pupil “looked after” by Swindon, or any other local authority: YES/NO If yes, which local authority………………………………………………………………………………… Is the child subject to a Child Protection Plan: YES/NO Has the pupil had a part-time timetable before? YES/NO – If yes when…………………………….. Name of parents/carers: Name of lead person in school: Name of social worker (if applicable): Name of SEN caseworker (if applicable): Name of Virtual School rep (if applicable): Name of Attendance & Welfare Officer: Date of meeting agreeing the part-time timetable: Start date of part-time timetable:
POLICY-Attendance4.docx