Learning Support Questionnaire

St George's Weybridge Learning Support Questionnaire:

Please complete this form regarding your child’s Learning Support needs. This information will be treated in confidence and forwarded to our SENCO, who may contact you for discussion. 

In order for Exam Access Arrangements to be considered, both this completed form AND full supporting documentation must be received by the College by 2 October in Year 6 for (or in Year 11 for Sixth Form entry). 

The College reserves the right not to consider applications received after this date.

  1. Name of student: *
  2. Current school:

  1. Date of birth: *
  2. Month & year of entry: *
  1. Gender: *
  2. Entry point: *
My child has been formally diagnosed with a Special Educational Need / Additional Learning Need / relevant medical condition *
Please give brief details:

** This must be dated within two years of the date of the entrance test.

We attach a full copy of an Educational Psychologist** / Specialist Teacher** /
specialist medical report
My child’s current school will provide a JCQ Form 8 (16+ applications only) *
We attach a full copy of any other assessments relating to additional learning
needs (e.g. IEP, specialist medical report, Clinical Psychologist report, CAMHS report,
Speech and Language assessment, Occupational Therapist assessment)

The Joint Council for Qualifications (JCQ) produces strict regulations each year concerning the awarding of Access Arrangements in examinations. It is the responsibility of the school to make a strong case for reasonable adjustments, based on the history of need, the normal way of working, and standardised assessment scores. For full details, please visit jcq.org.uk. 

I have included an appropriate assessment report dated after December 2021 and have requested that my child's current SENCO or Head of Year informs St George’s College of their normal way of working. Appropriate access arrangements can then be considered using JCQ regulations.
My child has been receiving extra one-to-one Learning Support or small-group tuition, in school or outside of school, within the last two years *
My child is currently on their school's support register *
I give my consent for my child’s current school to be contacted for further information *
  1. Signed electronically [enter name] *
  2. Date: *
Email address

Please complete this form with the relevant details and then send or email the necessary supporting documents to:

Admissions, St George’s College, Weybridge Road, KT15 2QS

or electronically to: ASquestionnaires@stgeorgesweybridge.com (this email is solely for submitting documents and not for general admissions correspondence)

Send me a copy of this form

Please leave the next box blank or your submission will not be accepted: