Elective Home Education: School Exit Information Form

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Child detailsSchool detailsAge Related ExpectationsEarly HelpSafeguardingDe-registration letterAttendance certificateAttainment reportSafeguarding file?Safeguarding fileSignature

Section 1 of 11 - Child details

Child details

This form is for school use ONLY and should be completed and returned to Elective Home Education (EHE) team with a copy of the withdrawal/de-registration letter from parents, an attendance certificate and a copy of the last report.

The purpose of this form is to gather information on students being de-registered from the school roll to be educated at home. Please complete as fully as possible.

Full name of child*:

Child's date of birth*:

NCY:

Is this child a carer?*YesNoSelect all that apply

Child's address*:

Find Address:

Postcode:

Address line 1*:

Address line 2:

Town/city*:

County*:

Postcode*:

Your email address*: An email will be sent to this address with details on how to continue your form if you save part way through.

Please leave this text box blank*:

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Elective Home Education: School Exit Information Form

Child details