Ethnicity Black or Black Asian or Asian Mixed/Dual Chinese & Other British British Background White British Caribbean Indian White & Black Chinese Caribbean White Irish African Pakistani White & Black Any other ethnic African group* Traveller of Irish Any other Black Bangladeshi White & Asian Not Heritage Background* Any other Asian Any Mixed Gypsy/Roma Background* Background *If other please specify Any other White background* Reason for application Documents required by panel Application form Setting additional needs support plan Please return this form to: via secure encrypted email portal or submit securely to Child Development Centre, Margaret Wells Furby, 15 Great Hollands Square, Bracknell, Berkshire, RG12 8UX General Data Protection Regulations (GDPR) (2018) The data collected will be used to enable the panel to make a decision regarding funding and to process payment where applicable. Data will not be shared outside of the SEN Inclusion Panel and Bracknell Forest Early Help Team. Data will be stored securely in electronic format, any copies will be destroyed securely once electronically scanned. For financial purposes data will be stored for 7 years and then deleted from the electronic system.
Ethnicity Black or Black British Asian or Asian British Mixed/Dual Background Chinese & Other White British Caribbean Indian White & Black Caribbean Chinese White Irish African Pakistani White & Black African Any other ethnic group* Traveller of Irish Heritage Any other Black Background* Bangladeshi White & Asian Not Gypsy/Roma Any other Asian Background* Any Mixed Background Any other White background* *If other please specify Reason for application Documents required by panel Application form Setting additional needs support plan Please return this form to: via secure encrypted email portal or submit securely to Child Development Centre, Margaret Wells Furby, 15 Great Hollands Square, Bracknell, Berkshire, RG12 8UX General Data Protection Regulations (GDPR) (2018) The data collected will be used to enable the panel to make a decision regarding funding and to process payment where applicable. Data will not be shared outside of the SEN Inclusion Panel and Bracknell Forest Early Help Team. Data will be stored securely in electronic format, any copies will be destroyed securely once electronically scanned. For financial purposes data will be stored for 7 years and then deleted from the electronic system.
sen-inclusion-fund-application-form.docx