Critical Worker / Vulnerable Students

To ensure that the Academy is able to provide sufficient places for any key worker or vulnerable students, we are asking parents to inform us if their child/children will need to attend during strike action.

If you require a place for your child/children, please complete the form below.

Student Name*

Year Group*Year 7Year 8Year 9Year 10

Form Group* Names/Year/Form Group of other siblings in same household (if applicable) Name of Parent/Guardian 1:* Parent/Guardian 1 Key Worker Category* Occupation*

Please provide details below of your work place name and a contact number, so that if necessary we can request proof of entitlement.

Parent/Guardian 1 - Name/Place of Work* Parent/Guardian 1 - Workplace Contact Number* Name of Parent/Guardian 2: Parent/Guardian 2 Key Worker Category Occupation

Please provide details below of your work place name and a contact number, so that if necessary we can request proof of entitlement.

Parent/Guardian 2 - Name/Place of Work Parent/Guardian 2 - Workplace Contact Number

Does your child have any of the following:*SEN (Special Educational Needs)An EHCP (Educational Health Care Plan)A Social WorkerNone of the above

If you have any comments, or queries please enter them below, and someone will be in touch.

Joseph Leckie Academy

Critical Worker / Vulnerable Students

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