(see guidance notes) d) Is the currently receiving exceptional needs funding? If so, please state how much and the end date e) Reason for application (see guidance notes) f) Is a CAF for this child? YES/NO Name of lead professional g) External agencies or professionals involved with the child (usually within 18 months) Agency/professional Referral made Report/advice Date of latest advice (Please include name of Yes/No received? professional) date if applicable Yes/No (see guidance notes) 4. DETAILS OF THE EXCEPTIONAL NEED a) Description of special educational Impact of the SEND on his/her learning and needs/disability (SEND) (see guidance notes) development (see guidance notes) b) Current levels of achievement for school age pupils / Information on the IAELD and any other common assessment tool for Early Years pupils. Please attach the IAELD and any other method to the application. Please state whether levels are aided or unaided. c) Briefly describe what is in place to meet the child’s needs at present. This should be a paragraph outlining the current provision. d) If this is a renewal please use this section to describe briefly the impact previous exceptional needs funding has had against the provision from the previous application. 5. EXCEPTIONAL PROVISION REQUEST (see guidance notes) a ) Aspect of the child’s b) Provision required to meet c) How will this impact on the child’s needs from section 4a the need needs and what is the expected (Identify each aspect of the (Specify the type and quantity of outcome? child’s main presenting need provision that is required to (Describe what will be the impact of this and any other needs.) meet each aspect of the child’s provision and how you will measure the needs.) success of the provision.) d ) request in hours e ) Detail the full and end date you are requesting the funding for. 6. CONTACT NAME AND SIGNATURE a) Date of application b) Statement: Name and signature of person completing the I confirm that parents are aware of this application application and they have consented to share information about their child with members of cluster groups and exceptional needs panels (see guidance notes). Role
(see guidance notes) d) Is the currently receiving exceptional needs funding? If so, please state how much and the end date e) Reason for application (see guidance notes) f) Is a CAF for this child? Name of lead professional YES/NO g) External agencies or professionals involved with the child (usually within 18 months) Agency/professional (Please include name of professional) (see guidance notes) Referral made Yes/No date if applicable Report/advice received? Yes/No Date of latest advice 4. DETAILS OF THE EXCEPTIONAL NEED a) Description of special educational needs/disability (SEND) (see guidance notes) Impact of the SEND on his/her learning and development (see guidance notes) b) Current levels of achievement for school age pupils / Information on the IAELD and any other common assessment tool for Early Years pupils. Please attach the IAELD and any other method to the application. Please state whether levels are aided or unaided. c) Briefly describe what is in place to meet the child’s needs at present. This should be a paragraph outlining the current provision. d) If this is a renewal please use this section to describe briefly the impact previous exceptional needs funding has had against the provision from the previous application. 5. EXCEPTIONAL PROVISION REQUEST (see guidance notes) a ) Aspect of the child’s needs from section 4a (Identify each aspect of the child’s main presenting need and any other needs.) b) Provision required to meet the need (Specify the type and quantity of provision that is required to meet each aspect of the child’s needs.) c) How will this impact on the child’s needs and what is the expected outcome? (Describe what will be the impact of this provision and how you will measure the success of the provision.) d ) request in hours e ) Detail the full and end date you are requesting the funding for. 6. CONTACT NAME AND SIGNATURE a) Date of application b) Statement: I confirm that parents are aware of this application and they have consented to share information about their child with members of cluster groups and exceptional needs panels (see guidance notes). Name and signature of person completing the application Role
enf_application_form_april_15.docx