Self Referral Form

Please provide as much information below as possible. We will use this to prioritise among schools where there
are more applications than we can accommodate.

Referral Information

School Name

URN

School Postcode

Headteacher Name

Headteacher Email

English / Reading Leader Name

English / Reading Leader Email

Bursar Name

Bursar Email

Year 7 cohort size

Percentage of children eligible for the pupil premium

Whole School

Further Information

School in an EIA or PEIA

School in an Opportunity Area?

Most recent Ofsted date of inspection, grade and any additional points of relevance

Please outline details of any current reading or phonics interventions

Please provide any data that you feel is relevant and will support your referral

Please briefly describe what you hope to achieve as a result on working with the English Hub

Where did you hear about us?

Local Partners

Website

Facebook

Instagram

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