5. Friends
Please list up to 4 friends (forename, surname) to stay with:

6. Stay away
Please list up to 4 students (forename, surname) to keep away from:

7. Has information in Q5 and Q6 been shared with parents?*

Yes

No

8. Behaviour - Please rate on a scale 1 - 5*

1. No behaviour issues at all, well behaved at all/almost all times

2. Minor/infrequent behaviour issues, gnerally gets on well with peers

3. Some/regular behaviour concerns, occasionla parental contact

Major/frequent behaviour concerns, reular parental contact (SEMH)

Major/continual behaviour concerns, referral to external agency for support (SEMH) and/or has been excluded

11. Has this student received additional literacy support*

Yes

No

12. Has this student received additional numeracy support*

Yes

No

13. Please indicate if this student is on your SEND Register.

Statement*

Yes

No

EHCP*

Yes

No

SEN Support*

Yes

No

15. Is this student in receipt of Pupil Premium funding?*

Yes

No

16. Will this student require additional support for Transition*

Yes

No

17. Additional Information*

Please provide any other additional information/concerns you feel is relevant to transition such as:

• CAF/TAC
• Child Protection/Safeguarding/Early Help involvement
• LAC
• Attendance
• Parents