SEND Improvement Programme Reference Group - Expression of Interest

Thank you for you interest in becoming part of the Cumbria SEND Improvement Programme Parent/Carer Reference Group. Please provided the information request below and we will get in touch.

If you have any question please contact: david@wearepeoplefirst.co.uk

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* 1. Please provide the following information:

Full name:

Email address:

Phone number:

District in which you live:

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* 2. Do you consent to your email address being shared with other members of the Reference Group? This is to allow contact and conversation between group members. This is not a requirement of group membership.

Yes

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* 3. Do you consent to your name being published on the Cumbria SEND Local Offer website, alongside the names of other Reference Group members? This is not a requirement of group membership.

Yes

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* 4. Which of the following best reflects your child/young adult’s primary area of need?

Autistic Spectrum Disorder

Hearing Impairment

Moderate Learning Difficulty

Multi-Sensory Impairment

Other Difficulty/Disability

Physical and Medical Diff

Physical Disability

Profound and Multiple Learning Disabilities

Severe Learning Difficulty

Social, Emotional and Mental Health

Specific Learning Difficulty

Speech, Language & Communication Needs

Visual Impairment

Currently under assessment

SEND Improvement Programme Reference Group - Expression of Interest

Question Title

* 1. Please provide the following information:

Question Title

* 2. Do you consent to your email address being shared with other members of the Reference Group? This is to allow contact and conversation between group members. This is not a requirement of group membership.

Question Title

* 3. Do you consent to your name being published on the Cumbria SEND Local Offer website, alongside the names of other Reference Group members? This is not a requirement of group membership.

Question Title

* 4. Which of the following best reflects your child/young adult’s primary area of need?

Question Title

* 5. Is there anything else we need to know to facilitate your participation in the Reference Group?