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Chatsworth Futures
Specialist College

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Application form 2024-2025

Application form

The information given below will be maintained on the college's electronic database which is subject to strict control under the General Data Protection Regulation 2016 (GDPR). Please ensure that the college is informed of any changes in the learners’s circumstances, so that our information is accurate. The college is required to share some data with the Local Authority and with The DfES.

Completed by:

Select one of the following*
No file chosen

Young persons details

Gender*
Ethnicity*

Parent/Guardian Details 1

Parent/Guardian Details 2

Local Authority SEN Officer

Social worker/Care Manager

Current school/College or Placement Details

Current Respite Provision

Nature Of Learning Disability

Please select one of the following*

Other details

Does the young person have capacity in any areas*
If yes to the above, have specific capacity assessments been completed?
Is the young person subject to a DOLS? (Deprivation of liberty safeguards)*
Do you have a Court Appointed Deputyship?*
Are there any safeguarding concerns ongoing?*

About the young person (Prospective student)

Education

Do they have an Education Health and Care Plan?*
No file chosen

Please give an up to date description of learner's functioning and NC levels/ P scales/Milestones/Levels in the following;