EYPP - Spring Grove Primary School

2024 - EYPP

We need information about you and your child, to provide the best education and support by making sure we receive all the government funding to which we and your child are entitled. Please complete this form by 31st October 2024.

How the information on this form will be used

The information you provide in this form will be used by the council to confirm eligibility for the Early Years Pupil Premium. They will do this by using the Department for Education Eligibility Checking Service. We would like your consent to make this check. Whether you use this scheme or not will not affect any of the benefits you may be entitled to.

For parents of adopted children, children subject to a Special Guardianship Order or a Child Arrangement Order

If your child has left care through adoption, special guardianship or a child arrangement order he/she will automatically attract the Early Years Pupil Premium.

Child’s Last Name *

Child’s First Name *

PARENT/GUARDIAN 1

Last Name *

First Name *

Date of Birth *

National Insurance No: *

National Asylum Support Service (NASS) Number (if any)

PARENT/GUARDIAN 2

Last Name

First Name

Date of Birth

National Insurance No:

National Asylum Support Service (NASS) Number (if any)

Has your child been adopted from care? *

Yes

Have you yet been granted an adoption order by the courts?

Yes

Did your child leave the local authority’s care under a special guardianship order or a child arrangements order (formally known as a residence order)?

Yes

Are you a foster parent/carer ? *

Yes

Details of Social Worker

Name of Social Worker

Social Worker’s Telephone Number

Name of Local Authority

DECLARATION

The information I have given on this form is complete and accurate. I understand that my personal information is held securely and will be used only for local authority purposes.

I agree to the local authority using this information to enable my child’s school to claim the Early Years Pupil Premium for my child .

Parent/Guardian Name *

Relationship to child *

Parent/Guardian Signature

Clear

Date *

If you are human, leave this field blank.