SCHOOL CARE NEEDS PROFILE FORM - A (to be completed for existing pupils accessing SNA support)

County:

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School:

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Roll No:

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Principal’s Signature:

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Date:

No of SNAs Allocated to School:

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No of Pupils currently accessing SNA support:

Name of pupil assisted / Class level/year / School based interventions availed of by this pupil
Current care needs of pupil as per Cir. 07/02 and/or 02/05
For example, please give the following details: assistance required by this pupil daily, give or attach details of the programme in place to assist pupil develop self-care skills and the names of professionals involved in monitoring and reviewing this plan.
Name of pupil assisted: / Class level/year: / School based interventions availed of by this pupil:
Current care needs of pupil as per Cir. 07/02 and/or 02/05
For example, please give the following details: assistance required by this pupil daily, give or attach details of the programme in place to assist pupil develop self-care skills and the names of professionals involved in monitoring and reviewing this plan.

Please make further copies if necessary

School Care Needs Profile Form-B (to be completed by Principal for all New applications for SNA support)

Name of pupil seeking support: / Class level/year / School based interventions availed of by this pupil: / Can this pupil’s needs be met within your current SNA allocation? 5 Yes 5 No
How have this pupils care needs been addressed to date?
Current care needs of pupil as per Cir. 07/02 and/or 02/05
For example, please give the following details: assistance required by this pupil daily, give or attach details of the programme in place to assist pupil develop self-care skills and the names of professionals involved in monitoring and reviewing this plan.
Pupils for whom SNA support is being sought under behavioural care needs please forward BCN (Behavioural Care Needs Record)