School Exclusions Project

CITY/MATRIX SCHOOLS EXCLUSION PROJECT
APPLICATION FORM
This form is to be completed by the child’s parent/guardian.
Where possible, please provide an electronic copy of your child’s exclusion letter.
Please note that completion of this form does not guarantee representation.
We aim to respond within 48 hours to confirm whether we can assist or not.
CHILD’S DETAILS
NAME: / BOY GIRL
SCHOOL YEAR: / DATE OF BIRTH:
SCHOOL DETAILS
SCHOOL NAME: / NAME OF HEADTEACHER:
ADDRESS: / TEL NO:
PARENT/GUARDIAN DETAILS
NAME: / RELATIONSHIP TO THE CHILD:
ADDRESS: / EMAIL ADDRESS:
DAYTIME CONTACT NO: / EVENING CONTACT NO:
DO YOU SPEAK FLUENT ENGLISH? Yes No IF NOT, WHAT LANGUAGE DO YOU SPEAK?
THE EXCLUSION
DATE OF EXCLUSION:
DURATION OF EXCLUSION:
PERMANENT
FIXED TERM LENGTH: ______
DON’T KNOW
PLEASE PROVIDE A SHORT SUMMARY OF EVENTS THAT LED TO THE EXCLUSION(No more than 100 words):
ARE THERE / HAVE THERE BEEN ANY CRIMINAL PROCEEDINGS IN RELATION TO THE EVENT OR EVENTS LEADING TO THE EXCLUSION? (IF SO, PLEASE SPECIFY):
THE HEARING
HAS YOURCHILD HAS BEEN PERMANENTLY EXCLUDED?: Yes No
HAS THE GOVERNORS’ HEARING TAKEN PLACE? Yes No If not, has it been arranged? Yes No
Date ______Time ______
Location ______
HAS THE IAP HEARING TAKEN PLACE?: Yes No If not, has it been arranged? Yes No
Date ______Time ______
Location ______
HAVE ANY OTHER HEARINGS/MEETINGS TAKEN PLACE OR BEEN ARRANGED? (Please provide details)
SPECIAL EDUCATIONAL NEEDS/DISABILITY
DOES YOUR CHILD HAVE ANY SPECIAL EDUCATIONAL NEEDS?Yes No
IF YES, PLEASE PROVIDE DETAILS:
IF YES, PLEASE SPECIFY WHETHER THESE NEEDS WERE BEING ADDRESSED AT:
SCHOOL ACTION
SCHOOL ACTION PLUS
STATEMENT
DO YOU CONSIDER YOUR CHILD TO HAVE A DISABILITY? Yes No
IF YES, PLEASE PROVIDE DETAILS:
PLEASE SPECIFY WHETHER ANY OTHER ORGANISATIONS/ADVISORS ARE, OR HAVE BEEN, PROVIDING ANY ADVICE OR SUPPORT TO YOU IN RELATION TO THE EXCLUSION:
HOW DID YOU HEAR ABOUT OUR SERVICES?

PLEASE RETURN THIS FORMWITH A COPY OF THE EXCLUSION LETTER (IF POSSIBLE), TO. PLEASE STATE ANYFIXEDHEARING DATE IN YOUR COVER EMAIL. WEAIM TO RESPOND WITHIN 48 HOURS. WE CANNOT GUARANTEE THAT WE WILL HAVE A VOLUNTEER AVAILABLE TO REPRESENT YOU.

Please note that all information will be treated in the strictest of confidence. We will not contact the school or any other person whose details are provided here without your express permission.

Representation from this project is provided by students at The City Law School. They are trained on the law relating to school exclusions and will use this training to review your case and, where possible, provide advocacy for you at the appeal hearing. Please note however that the students are not qualified lawyers and that representation by students is not the same as representation by a qualified barrister or solicitor.Student representativeswill refer parents to specialist solicitors if the facts of the case are such that formal legal advice is advisable. It is likely that you will need to pay for access to a specialist solicitor unless you qualify for Legal Help.Student representation is provided free of charge, although travel expenses may need to be agreed in advance of any representation. The School Exclusions Project endeavours to find a student representative for each pupil that needs assistance but please note that representation cannot be guaranteed due to student availability.