Schools Funding Form (Funding is not available for pupils with EHCPs)

 

1. Name of Pupil? *

 

2. NCY: *

 

3. Date of Birth: *

   DD/MM/YYYY 
 
 

4. SEN Status: *

 

5. Additional Needs Status: *

 

6. Right for Children Case ID number

 

7. Name of School Requesting Funding? *

 

8. Name of Person Requesting Funding? *

 

9. School DfE Number:

 

10. Which other agencies are supporting this pupil? *

 

11. What are you seeking funding for? (please describe the intervention/need) *

 

12. What are the measures of success for this intervention? *

 

13. What period are you seeking funding? (eg 08.09.2020 - 02.10.2020) *

 

14. What sum (£) are you seeking from DCC Inclusion? *

 

15. Who is your Inclusion Officer?
*

 

16. Date of Request: *

   DD/MM/YYYY 
 
 

17. School budget code or Academy bank details: *