Title Page
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D/deaf Assessment Interview
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Year
- 2014/15
- 2015/16
- 2016/17
- 2017/18
- 2018/19
- 2019/20
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Personnel
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Students name
Student details
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Person Code
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DOB
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Course
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Achievement Tutor
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Contact Txt No
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Date
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Time Taken
Support Previously Received
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Support Previously Received
- CSW
- Interpreter
- Note taker
- Teacher of the Deaf
- Extra Support (Technical)
- Extra Support (language)
Prefered Communication Methods
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Preferred Communication Methods
- BSL
- SSE
- Hearing Aids
- Cochlear Implant
- Lip-reading
- Speech
- Signs with voice
- Uses written English
- Uses hearing loop
Background Information
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e.g. Any previous support (ratios/types), EAA, previous qualifications, work experience, etc.
Description of Support
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To inform Support Plan targets
Goals
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Short term/ Long term goals
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Photo
Office Use Only
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Person to cost for:
- Pat Jenkinson
- Diane Hill
- Jan Barker
- Jane Hilton
- Richard Greenwood
- Noreen Dixon
- Kai Stengel
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Date:
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Time Taken:
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Person to cost for:
- Pat Jenkinson
- Diane Hill
- Jan Barker
- Jane Hilton
- Richard Greenwood
- Noreen Dixon
- Kai Stengel
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Date:
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Time Taken: