London Click here to download the prospectus. Taster day Booking form Student Details: First Name * Last Name * Date of birth * Preferred To Be Known As Pronoun Home Phone Number * Mobile Number * Student Email * Address * I can confirm that I/The Student can manage a 5 day timetable? (10am to 2pm) * YesNo If you are aged between 16 and 18 years of age, have you achieved the required grades in GCSE English and Maths? * YesNo Proposed Start Date —Please choose an option—Year 25/26Year 26/27 Local Authority SEND case worker Your Local Authority Social Worker (If you have one) Known SEND need. Tick all that apply * ADHDAnxietyASC/AutismCerebral PalsyDyslexiaDyspraxiaEpilepsyHearing impairmentMental health difficultiesPhysical disabilityVisual impairmentOther Your creative interests and other things about you that you would us to know * Does the young person have an EHCP/ Statement (Wales) * YesNo Does the young person have any Safeguarding incidents/issues and/or a Risk Assessment * YesNo How did you hear about Pinc College? * LinkedInFacebookInstagramX.comEmailCareers AdvisorLocal AuthoritySocial WorkerHealth ProfessionalParent or Carer GroupOther Parents / Carers / Corporate Parent: First Name * Last Name * Mobile Number * Email * Relationship to Student Address (if different) * Emergency contact details if different from above: Name Relationship to Student Telephone Emergency contact details if different from above: Current School or College Address Date From / To Most Recent Attendance (Average)* Below 20%20% - 50%50% - 80%Above 80% Wellbeing* GoodSome ConcernsReq. Intervention Overall Attainment* ExcellingSome ConcernsNo Progress Qualifications: Subject 1 Grade or Expected Grade Date (Year) Completed/Expected Subject 2 Grade or Expected Grade Date (Year) Completed/Expected Subject 3 Grade or Expected Grade Date (Year) Completed/Expected Subject 4 Grade or Expected Grade Date (Year) Completed/Expected Is the young person currently in education? YesNo Δ
