Educational Provision Form

1. Full name of parent completing this form* 2. Full name of first child who will need to attend* 3. Full name of additional children who will need to attend (enter not applicable if this is not relevant)* 4. Child's (Children's) Year Group(s)* 5. Please identify the sector that you work in. (Please refer to the list and definitions of a key worker using the link at the top of the page)* 6. Name of Employer* 7. Employer’s address* 8. Employer’s e-mail address* 9. Employer’s telephone number*

10. IMPORTANT NOTE: As part of your application you may be asked to provide written evidence of your key worker status. For example a signed letter from your employer on headed company paper. We will contact you if this evidence is required.

I understand that I may be asked to provide key worker status from my employer*Yes, I understand

11. Please select the day(s) your child(ren) will need to attend school from Monday 8th to Friday 12th March

12. IMPORTANT NOTE: The canteen will not be open at break and lunch.

I understand that the canteen will not be open and I will send my child into school with a packed lunch and drinkYes, I understand

13. How will the student be travelling to and from school? If by school bus please specify the bus number (buses will be running as normal)* 14. Your email address* 15. Your telephone number*

The South Wolds Academy and Sixth Form

Educational Provision Form

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