Supported Learning Transition Form 2021-22

Please complete the form below and hit submit

PLEASE COMPLETE THE FORM BELOW AND HIT SUBMIT

1 Personal Details

Pupil Name *

Date of Birth *

SQA Number *

School Leaving Date *

School Guidance Contact *

Email Address *

Telephone Number *

2 Student Profile

3 Qualifications

Achieved at Present *

Pending *

Work Placements Undertaken *

4 Personal Qualities

Approach to Learning *

Social Relationships *

Working with Others *

Problem Solving *

Strengths, Interests, and Achievements *

5 Attendance and Punctuality (you may prefer to attach an attendance printout)

Attendance %

Puncuality

Please provide detail (be specific in relation to attendance pattern of school timetable - eg number of days expected attendance per week)

6 Additional General Comments to Support Application

Please list any other relevant information/comments

7 Additional Support

Current Level of Support in School *

Tasks that have support currently provided in school *

Reason for arrangements

Please be specific as this information will be used to apply for the same arrangements in college

Arrangements in place

Please be specific as this information will be used to apply for the same arrangements in college

Details of any equipment or adaptions required to meet the pupil's learning needs

8 Care and Medical

Impact of additional support needs on eating and drinking *

Impact of additional support needs on other areas *

Please provide details of any prescribed medication, as follows:

Name of medication

For what condition(s)

Dosage

When taken

Procedure for administration

Please use this space to give full details should other medications be taken

Will medication need to be carried and/or administered during the College day?

Please give comprehensive details

Give details of any equipment, adaptions, or additional support required to meet the pupil's personal care or medical needs

9 Additional Information

Social Worker Name

Social Work Team

Social Worker Telephone Contact

Social Worker Email Address

Name any other agencies involved with the pupil

Please provide name and contact details of Key Worker