Expression of Interest Form for Provision of SEND Activities/Services
1. Please state the name of your Organisation or Service:
2. Please give a contact name:
3. Please give a contact email address:
4. When considering the 3 types of categories, please indicate the ones below that you are able to provide a Service to support
(if more than 1 from the list below, please select all that apply).
5. What type of activities/support would you be able to provide to support the categories that you have selected above?
(Please select all that apply)
6. Short breaks will be available to 4 year olds who have started Reception year at school up to those that are 25 years old. What are the minimum and maximum age ranges for your activities/support?
Please respond using the following format example: 7-13
7. What categories of need are you able to support?
(Please select all that apply)
8. Which of the following school holiday periods would you be able to provide the activity/support?
(Please select all that
apply)
9. Please give an indication of the geographical area where your activity/support would take place
(for example, East, West or Central Brighton & Hove etc):
10. How many Short Break places would you envisage being able to offer over each holiday period?
11. How many days would you consider offering across the year (Easter 2024 - February 2025)?
12. Please indicate the average number of delivery hours for one of your sessions:
13. Please indicate the average cost to attend one of these sessions: