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Student Referral Form

Bright Stars Education and Training Ltd., collects, holds and processes information, including personal information to allow it to provide services effectively.


See our privacy statement here

  1. Referring Agency

  1. Student Details

Parent / Carer / Responsible Person Information

Medical Needs

2. Education Profile

Student’s prior experience

Attendance Information

  1. SEND Profile

Does the student have additional social/behaviour/learning needs as well as EAL?
Yes
No
Does the student have a specific diagnosis or EHCP? (e.g. ADHD, ASD, Epilepsy, Dyslexia)
Yes
No
Does the student have a Risk Assessment in place? If yes, please attach
Yes
No

  1. Social Profile

Is the student/family open to social care? If yes, please provide contact details
Yes
No
Other Agency Involvement
Which vulnerable groups are applicable?

  1. Reason for Referral

  1. Checklist - admission criteria

Is the student an asylum seeker or refugee?
Yes
No
Has the student arrived in the UK within the last 2 years?
Yes
No
Has the student accessed education in the UK for less than a year?
Yes
No
Does the student need support with English in order to access further educational opportunities?
Yes
No
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