SEND Outreach Workshop Application Form

SEND Outreach Workshop Application Form

Choose a date

13th March 2020 20th March 2020

You must be available for a class observation on 6th March. Please refer to our booking guidelines.

About the school

Name of school *

School address *

Address Line 1

Address Line 2

City

Post Code Country

Local travel details

(nearest tube station, nearest mainline train station, etc.)

School telephone number *

plus extension where applicable

Age of participating students *

Number of students *

Maximum 12

Number of staff *

Staff must be present throughout the entire workshop.

Please state any access requirements *

About the teacher

Name of contact teacher *

First Name Surname

Out of hours telephone number *

E-mail *

Any additional comments