Expression of Interest
EOCC Year 3-6 Network Class - Good Shepherd Catholic Primary School, Hoxton Park
Please complete the Expression of Interest. The information will be sent directly to the college. We will then contact you to make a time for you to visit and discuss your child's learning needs.
Date completed:
Student Details
Name of student: *
Gender: *
Date of birth: *
Religion: *
Parent/Carer Details
Parent/carer 1: *
Mobile number parent/carer 1:
Parent/carer 2:
Mobile number parent/carer 2:
Home address: *
Home phone:
Email: *
Background Information
Level of intellectual disability: *
Does your child have any other disability or learning needs?:
Please provide details if you ticked any of the above additional disability or learning needs:
Does your child have a medical need?: *
If yes, please provide details:
Is your child verbal?: *
Do they use another form of communication? Please provide details:
Current school details: *
Current grade/year: *
Please indicate the type of support your child’s current school is providing this year: *
Please indicate how a specialised class setting will assist your child’s educational progress:
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