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Reference Request for entry to Feltonfleet in Years 6, 7 or 8

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 Years 6, 7 or 8

Pupil & Reference Provider's details

Academic Achievement and Potential

Baseline Assessments (e.g. CAT4)

Academic Promise

Personal Qualities

Additional Needs

Does the pupil have a Statement of Special Needs?*
Does the pupil have any learning difficulties?*
If 'Yes' please provide details
Does the pupil receive EAL support (English as an Additional Language)?*
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

Extra Curricular Activities: Personal attributes, talents and interests: music, art, drama, sport, chess etc.*
Head's comment*
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