School In-Year Transfer Supplementary Form

School in-year transfer – supplementary form

Please note; if you are currently on the roll of a school or have been at a school in the United Kingdom previously, this supplementary form must be completed in fullby the school and uploaded with your online application or submitted with all relevant records about the pupil by e-mail to; or by post to; Education Support Services, Level 12, Civic Centre, West Street, Oldham, OL1 1XJ.

Transfer requests will not be processed until both the online application and supplementary form is received by the admissions team.

Pupil Details

Pupil’s surname / First name(s)
Date of birth / Year group
Male/female / Address

Current/previous school details

Name of current/previous school
Date started
Last date of attendance
Name of Head of Year/Key Worker
Telephone number / Eligible for free school meals / Yes No

Mandatory information

Is the pupil looked after? / Y/N / Home Authority:
Name of Social Worker:
Must attach latest PEP
Has the pupil been previously looked after and is now adopted, on a Child Arrangement Order or has Special Guardianship? / Y/N / Home Authority:
Name of Social Worker:
Is the pupil on a Child Protection Plan? / Y/N / Name of Social Worker:
Is the pupil ‘Child In Need’ Status? / Y/N / Name of Social Worker:
Is the pupil on the SEN register? / Y/N / Education, Health and Care Plan
Undergoing Statutory Assessment
SEN Support / Y/N
Y/N
Y/N
Does the pupil have any medical conditions or disabilities? / Y/N /

Attach details and include details of adjustments and/or interventions in school

Has the pupil been permanently excluded from school? / Y/N / Name of Pupil Referral Unit:
Date of permanent exclusion:
Reason for permanent exclusion:
Has the pupil had any fixed-term exclusions? / Y/N / Attach details including dates and reasons
Has the pupil been on a ‘managed move’ to another school? / Y/N / Date of managed move:
Reason for managed move:
Does this pupil have a Pastoral Support Plan or Individual Education Plan in place? / Y/N / Attach the PSP or IEP
Does this pupil have Social Care, Family Support or an Early Help Assessment in place? / Y/N / Attach details of support plan and/or assessments
Please give attendance figure for this academic year (%) / Must attach printed attendance records
Please give attendance figure for last academic year (%) / Must attach printed attendance records

Agency Involvement - Please tick

Education Attendance Service
Advisory Teaching Service (QEST)
Educational Psychologist
Healthy Young Minds
Youth Offending Team
Police
Social Care
Health Authority
Other Agency

Please attach all available reports from the agencies above.

Signatures must be completed