Oldham Council



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 full by the school and uploaded with your online application or submitted with all relevant records about the pupil by e-mail to; transfers@.uk or by post to; School Admissions Team, Level 8, 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 |Yes No |

| | |meals | |

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 |Y/N |Home Authority: |

|Child Arrangement Order or has Special Guardianship? | |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 |Y/N |

| | |Undergoing Statutory Assessment |Y/N |

| | |SEN Support |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|Y/N |Attach the PSP or IEP |

|Plan in place? | | |

|Does this pupil have Social Care, Family Support or an Early Help |Y/N |Attach details of support plan and/or assessments |

|Assessment in place? | | |

|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

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School Comments:

Authorised by:

School staff (full name):

Position:

Signature:

Date:

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For office use only – Ref No:

UPN:

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