Disability Do you consider yourself to have a disability? Yes No Prefer not to say Employment information Current role – Role/job title Length of time in role Employer name (School) Employer Address line 1 Employer Address line 2 Town County Postcode Line Manager name Line Manager email Headteacher name Headteacher email Type of School setting (please click the box to select): Community School/College Foundation School/College Voluntary Controlled school Voluntary Aided School/College Local Authority Nursery School Pupil Referral Unit Academy Secure Unit Free School Non-maintained independent school Other (please give details) If other please specify below: Type of School phase (please click the box to select): Primary Secondary All through Special School Other If other please specify below: Approximately how many students do you have on roll? What percentage of students are eligible for free school meals in your school?
Disability Do you consider yourself to have a disability? Yes No Prefer not to say Employment information – Current role Role/job title Length of time in role Employer name (School) Employer Address line 1 Employer Address line 2 Town County Postcode Line Manager name Line Manager email Headteacher name Headteacher email Type of School setting (please click the box to select): Community School/College Foundation School/College Voluntary Controlled school Voluntary Aided School/College Local Authority Nursery School Pupil Referral Unit Academy Secure Unit Free School Non-maintained independent school Other (please give details) If other please specify below: Type of School phase (please click the box to select): Primary Secondary All through Special School Other If other please specify below: Approximately how many students do you have on roll? What percentage of students are eligible for free school meals in your school?
ALNPQML-app_form_v4.docx