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Reference Request for entry to Feltonfleet in Year 2

Please complete this confidential consultation document as honestly and accurately as possible based on your current working knowledge of the child.

Reference request for entry to Feltonfleet in Year 2

Pupil & Reference Provider's details

Academic Achievement and Potential: English

Academic Achievement and Potential: Maths

Academic Achievement and Potential: Baseline Assessment (e.g. CAT4)

Further Information

Please provide information about the pupil's aptitudes, qualities, abilities, talents, interests and characteristics.
Social - leadership and working with others*
Personal - character, values and moral courage*
Cultural - Art, Design, Drama, Music and other interests*
Physical - Dance, Sport and free play*
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Any additional needs

Does the pupil have any special education needs or difficulties?*
Does the pupil have an Education Health & Care Plan?*
If 'Yes' please provide details
Please identify which stage of language acquisition the child is at*
Has the pupil ever had an Individual Education Plan?*
Does the pupil have an Educational Psychologist's report?*
Has the pupil ever been excluded from lessons or from school?*
Does the pupil have any special medical conditions?*
Are there any Safeguarding issues or pastoral concerns or have there been any historic safeguarding concerns?*
Where there are any Safeguarding issues or pastoral concerns, or have been any historic safeguarding concerns, please send details of this separately for the attention of our DSL, Miss Helen Marland (helen.marland@feltonfleet.co.uk).
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Final Conclusions

Which words, in your opinion, best describe this pupil?*
Any additional information or circumstances that you think we should be aware of about this child?
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