Self Referral 2020 - 2021
Please provide as much information below as possible. We will use this to prioritise support among schools where there are more applications than we can accommodate.
School Name *
Name of person completing this form: *
Contact email *
URN *
This is a 6 digit number (not a DfE 7 digit number)
Number of pupils on roll for Reception *
Number of pupils on roll for Key Stage 1 *
Phonics Screening Check score for 2016 *
Phonics Screening Check score for 2017 *
Phonics Screening Check score for 2018 *
Phonics Screening Check score for 2019 *
Predicted Phonics Screening Check score for 2020 *
Any relevant contextual information about your PSC scores *
Key Stage 1 Reading assessment scores *
Proportion of children eligible for Pupil Premium in the school *
Is your school in an Opportunity Area? *
Most recent Ofsted inspection grade and any additional points of relevance *
Please outline any support that you are currently receiving in early language or literacy *
Please briefly describe what you hope to achieve as a result of the support from an English Hub *
If COVID-19 has had an impact please give details here: *
Headteacher's Name *
Please note this counts as your digital signature for the purposes of this form.
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