Refer pupils 

Welcome to the Literacy Pirates Teacher’s Initial Referral Form.

This form allows you to refer pupils to our after-school programme and is used by Literacy Pirates staff to assess the suitability of each pupil being referred.

1. The puil’s place is only confirmed once we receive and review and then notify that this pupil can be referred. We may ask to speak to your about a pupil before confirming thier place.
2. Please do not inform the young person or contact their parents at this stage. This will avoid disappointment if we decide that the child does not meet our referral criteria.
3. Information for this form should be provided by the class teacher (primary) or English teacher (secondary) of the pupil.
4. For data protection reasons please use initials not full names, and do not submit sensitive information or pupil contact details via this form. This form is for the assessment of access and learning needs only.

We look forward to working with your pupils!


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