Supplementary Information Form – Year 7 entry in September 2023

Fair Banding Assessment Application

ONLY USE THIS FORM FOR CHILDREN CURRENTLY IN YEAR 6.

Do NOT complete this form if your child is an existing QEGS Year 6 pupil. Your child will automatically sit the assessment during school time.

Please check your details carefully and make sure all fields are correct. In particular, the e-mail address, as this is how we will contact you about the Fair Banding Assessment.

We will not write out to you at your home address.

PLEASE DO NOT CLICK THE ‘SEND’ BUTTON MORE THAN ONCE WHEN YOUR APPLICATION IS COMPLETE. PLEASE NOTE THAT WHEN YOU SUBMIT YOUR ONLINE APPLICATION FORM, YOU WILL SEE A MESSAGE APPEAR AT THE TOP OF THE PAGE SAYING YOUR APPLICATION HAS BEEN SUBMITTED, AND YOU WILL RECEIVE AN E-MAIL TO CONFIRM RECEIPT TO THE E-MAIL ADDRESS YOU USED ON THE FORM.  Please ensure you retain this as proof of your application (please check your Junk email folder if you do not receive it as your security settings may mean our e-mail is blocked).

    Child's Details

    Date of Birth:
    / /

    Twin or Triplet:

    Parent/Carer's Details

    Contact Details

    Additional Information

    Does the child have an EHCP (Educational Health and Care Plan)?

    Do you consider your child to have a disability?

    Does the child receive any additional classroom/academic support?

    Please give details of any assistive equipment the child uses whilst in the classroom?

    Does the child have exam access arrangements? i.e. extra time given during assessments/exams for a disability or learning needs

    Does a parent/carer work at QEGS Academy Trust?

    The employee must have worked for QEGS Academy Trust for at least 2 years at the time of this application and have a QEGS Academy Trust pay reference number. The parent/carer details on this application must be of the parent/carer that works at QEGS Academy Trust.

    If so, please provide the parent/carer’s QEGS Academy Trust pay reference number

    Please tick this box to agree to your child sitting the Fair Banding assessment, as per the details stated above:

    Yes

    You must also complete a CAF with your Local Authority by the national closing date, which can be found on your Local Authority’s website.

    IMPORTANT

    Do NOT click the submit button more than once. Once your application has been submitted you will receive a message on this screen and an e-mail notification to confirm we have received it. You will receive your allocated time slot for the Fair Banding assessment after the national closing date for applications. If you are submitting this form after the national closing date, your application will be considered as ‘late’.