Information
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Year
- 2014/15
- 2015/16
- 2016/17
- 2017/18
- 2018/19
- 2019/20
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Personnel
- Noreen Dixon
- Richard Greenwood
- Diane Hill
- Jane Hilton
- Jan Barker
- Kai Stengel
- Lesley Martin
- Other
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Students name
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Person Code
Course/Funding information
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DOB
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E-mail
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Address
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Telephone
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Mobile
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Emargency Contract (Name, Number)
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Course Name
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School Code
- BBM - Business & Management
- BCE - Communication & ESOL
- BSC - Skills Development & Community Learning
- BEA - Education, A-Level & Faith School
- PHT - Hospitality, Tourism & The Visitor Economy
- PVA - Visual Performing Art & Digital Media
- PHB - Hair & Beauty Therapies
- TMS - Scientific Industries
- TEN - Engineering
- TCO - Construction
- SHS - Early Years Professional & Counselling
- SPF - Health Professionals
- SSP - Sport, Exercise & Public Services
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Start Date
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End Date
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Outcomes (what does the student want to do after this course e.g. Apprenticeship, employment, University?)
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Employment/ voluntary work/ work placement
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Education Background (Type of school, any exams taken)
Visual Impairement
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Are you registered blind?
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Date of registration
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Date of last visit and review to eye consultant?
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Consultant name and hospital
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Medical conditions/ Eye condition
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Describe your Peripheral / Central vision and Visual Acuity scores
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VI medical information to be requested from (Name, address, phone number)
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Date of VI information received
Support Requirements
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Support Requirements
- Support Worker
- Out of class
- In- class
- Mobility
- Enlarged resources
- Braille resources
- Laptop & software
- Note taker
- Technical aids
- Computer adjustments
- Transport assistance
- Indoor mobility
- Sight familiarisation
- Braille support stated SEN/EHCP at L1
- Braille support stated SEN/EHCP L2
Support History
Adjustments
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Adjustments
- Low noise level
- No bright light
- No flickering light
- Blinds drawn
- Use A4 for enlargement
- Use A3 for enlargement
- Brailled corse material e-learning accessible
- P/Points / DVD's in advance
- My Course/Library
- Textbooks on Computer- Tutor/SEN
- Access to learning material - Tutor or SEN to send to student or access via pen drive in class
- Environmental adjustments (distance from board, use of Smartboard, pen colours, room layour. Etc).
Exam Access Arrangements
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EAA
- Paperbased or
- Online
- Separate room
- Enlarged paper-A4 up to 18pt Bold
- Enlarged paper - A 3 up to 24pt Bold
- Braille Grade 2
- Tactile diagrams
- Assistive Equipment (magnifier/ stand / ect
- Scribe
- Reader
- Rest breaks
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extra time-%
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software
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Coloured paper
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What worked well/what might have helped you that you didn't have?
Other relevant information e.g. Software use, font & colour etc
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Handout paper colour(s)
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Overlay colour(s)
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MP3 (speed)
Format for notes/ handouts
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Fonts and sizes
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Text colour
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Background colour
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Braille
Keyboard
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Enlarged keys
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Letter colour keyboard colour
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Braille keyboard
Software
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Dragon, Jaws, Supernova,
Computer setting
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Task bar, enlarged icons, cursor etc
Technical Aids
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Magnifier -handheld - electronic (Looky+)
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Reading pens
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Dictaphone
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Echo Smartpen / Smartpen 3
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Perkins brailler
Handwriting sample
Can you read your handwriting-If yes please can you show us what size you write on using the separate piece of paper.
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Sample of students writing
Further Information
Signatures
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Staff signature
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Student signature
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Date
Office Use Only
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Person to cost for:
- Noreen Dixon
- Richard Greenwood
- Diane Hill
- Jane Hilton
- Jan Barker
- Kai Stengel
- Lesley Martin
- Other
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Date:
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Time Taken:
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Person to cost for:
- Noreen Dixon
- Richard Greenwood
- Diane Hill
- Jane Hilton
- Jan Barker
- Kai Stengel
- Lesley Martin
- Other
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Date:
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Time taken:
