Course and LDD

Course of interest

  • Course name

Support Requirements

  • Support Requirements

  • If other please state which:

  • Has the learning difficulty/disability been diagnosed?

Evidence of support requirements (copy held)

  • Form 8

  • Free writing

  • Medical Evidence

  • 139a/EHC Plan

  • SEN

  • All About Me

  • Fit to study letter

  • Care Plan/Risk Assessment

  • Ed Psychologist Report


  • Other

  • If other please state which:

Support History

History of Support

  • In class support

  • Which lessons?

  • EAA

  • If modified paper please give more details: (Font size, colour, paper size etc)

  • Normal way of working

  • Specialist Equipment/Assistive Technology

Medical Needs

  • Medical Condition/Allergy/Dietary Information

  • Support from External Agencies (Name and contact details) (Social worker, YPS Advisor, YOT)


  • • Are you, or have you been, supervised by the Youth Offending Team (YOT) or Probation Services in the past 3 years?

  • If 'Yes' please give details (dates, length of time, offence)

General Details

  • General Details

Review the following

  • Attendance Issue

  • Reference Check

  • Looked After Child

  • Excluded/Suspended

Pre-enrolment actions required

  • Further information

  • BKSB Assessments

  • Familiarisation Visit

  • Taster in school area(s)

  • Enrolment Support

  • Personal Care/Payments/Carer Liaison

  • Meeting with PTL/HoS

  • Reason

  • Other

  • Please state:

Tutor Adjustments

Accessing information

  • Difficulties

  • Strategies

  • Other: (please specify)

  • Overlay colour:

  • Colour of pen on whiteboard:

Producing information

  • Difficulties

  • Strategies

  • Other: (please specify)

Working memory / concentration

  • Difficulties

  • Strategies

  • Other: (please specify)

Communication/Social interaction

  • Difficulties

  • Strategies

  • Other: (please specify)

Sensory / Physical

  • Difficulties

  • Strategies

  • Other: (please specify)

Support Recommendations/Appointments

Initial Support Recommendations

  • LSA Observations (Main Programme)

  • LSA Observations (English)

  • LSA Observations (Maths)

  • CSW Observations

  • CSW out of class

  • Counselling

  • Inclusion Contract

  • Learning Support Coach

  • EAA

  • EAA - Medical

  • Assistive Technology Assessment - ICT

  • Overlay Assessment

  • Materials Adaption

  • Tutor Adjustments

  • Risk Assessment

  • PEEP

  • Evacuation Chair Training

  • Safe Haven Training

  • Medical alert to school

  • ELM Support

  • Meeting and Taking to class

  • Accompanying to and from transport

  • Travel Training (Taxi)

  • Independent Travel Training

  • Vulnerable Learner

  • Refer to safeguarding officer

  • Maths Support (Out of class)

  • English Support (Out of class)

  • Student Manager

  • SEN Coding


  • Should I enrol at college I understand that The SEND Team may wish to share/release information on a 'needs to know' basis so that you can be provided with the most appropriate support. I also understand that a further, more in depth interview may need to take place before I enrol.

Disclosure/Enrolment Statement

  • If I enrol at the college I agree to this information being shared within college and with relevant outside bodies (e.g. Work placements, exam boards etc)

  • All requests for SEND will be considered on an individual basis by the SEND Team. Applications for support can not be processed until all relevant evidence is received.

  • Student signature:

  • Student photo

  • Staff signature:

Admin use

  • Person to cost for:

  • Time taken

  • Date

  • Person to cost for:

  • Time taken

  • Date

  • Person to cost for:

  • Time taken

  • Date

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