Expression of Interest
EOCC Year 3-6 Network Class - 2020 - 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:
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Student Details
Name of student: *
Your answer
Gender: *
Your answer
Date of birth: *
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Religion: *
Your answer
Parent/Carer Details
Parent/carer 1: *
Your answer
Mobile number parent/carer 1:
Your answer
Parent/carer 2:
Your answer
Mobile number parent/carer 2:
Your answer
Home address: *
Your answer
Home phone:
Your answer
Email: *
Your answer
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:
Your answer
Does your child have a medical need?: *
If yes, please provide details:
Your answer
Is your child verbal?: *
Do they use another form of communication? Please provide details:
Your answer
Current school details: *
Your answer
Current grade/year: *
Your answer
Please indicate the type of support your child’s current school is providing this year: *
Your answer
Please indicate how a specialised class setting will assist your child’s educational progress:
Your answer
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