SENCO Form

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SENCO Form

Please complete this confidential form if your child has learning or behaviour support needs.

Email Address *

Learners First Name *

Learners Last Name *

Relationship to the Learner completing the form *

Mother

Father

Caregiver

Does your child have additional learning needs? If YES please explain in detail *

Has your child has support from a Teacher Aide in the past? Please provide details *

Is your child entitled to any funding? If yes please explain which funding agency and entitlement *

Do you have reports from any of the following *

Yes

Educational Psycholgist

Audiologist

Paediatrician

Other Health Professional

Has a RTLB ever been involved with your child's learning? *

Yes

At your child's previous school, did you child have an IEP? *

Yes

Has your child been formally diagnosed with any of the following? (If yes please email supporting documentation to enrol@wgpcollege.school.nz) *

Yes

ADHD

Anxiety

ASD

Auditory Processing Issues

Cerebral Palsy

Dysgraphia

Dyslexia

Epliepsy

Global Delay

Hearing Loss

Mental Heath Issues

ODD

Physical Disabilitites

Processing Issues

Tourette's

Visual Loss/Blindness/Glasses

Other (Grief/Trauma)

Submit

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