This form can be used for the following:

To enable early years settings in NottinghamCityto register an interest to provide funded early education places:

a) For 2 year olds only

b) For 3 and 4 year olds only

c) For 2, 3 and 4 year olds

PLEASE NOTE: Prior to completing this form, early years setting must have completed Ofsted registration, be on the Ofsted Early Years register and have an Ofsted EY number.

Upon receipt of your completed funding registration form, a member of the Early Years team will make contact in order to discuss the process, timelines and next steps. There are two funding registration pathways depending on the status of your provision:

1. Early Years Provision with a good or outstanding Ofsted grade or Early Years Provision newly registered with Ofsted (has not

had first inspection)

2. Early Years Provision with a satisfactory (requires improvement) Ofsted grade

Please see ‘Local Guidance on Delivering the early years entitlement for 2, 3 and 4 year olds’ document for further details on each pathway.

  1. ABOUT YOU

  1. Name of School/Early Years Provider

  1. Addressof School/Early Years Provider
/ Postcode
  1. Name of ‘Key Contact’

  1. Telephone Number for ‘Key Contact’
/ E-Mail
  1. Ofsted EY number

  1. Date of most recent Ofsted inspection and grade received or date of Ofsted registration (if awaiting first inspection)

  1. Please tick which funding stream you are registering for
/
2 year old funding only

3 and 4 year old funding only

2, 3 and 4 year old funding
  1. ABOUT YOUR SERVICE

  1. Are you currently offering any early education funding?
/
YES Please sate which

NO
  1. What systems do you have in place to ensure your provision meets all the Statutory Requirements of the Early Years Foundation Stage?

  1. Please explain how offering funded places complements your existing provision and does not displace places required to enable the transition of children through your setting.

  1. Can you explain your reasons for expressing an interest to offer funded places?
(i.e. are you aware of a need to expand funded places in your area?)
  1. Do you have a current working relationship with your local Children’s Centre? Please explain your answer/give details

  1. DECLARATION BY CHILDCARE PROVIDER

I confirm that the information given above is correct to the best of my knowledge. Where this form is submitted by e-mail, the person named accepts the same responsibility as if the form was signed and submitted by post or hand.

I confirm (please tick):

I am willing to fully engage with the Local Authorities funding administration procedures

  • I am able to offer a funded places for 15 hours per week for 38 weeks per year

Signed for and on behalf of the Provider: / Title (Director, Manager, Headteacher etc.) / Date:

Please now return this form to: Shirlee Léonce, Early Years,EYFS Support Worker, Nottingham City Council, Early Years Team, Loxley House, Station Street, Nottingham, NG2 3NG

E-mail: Telephone: 01158764541

You are strongly recommended to contact us about 7 days after submitting this form to check it has been received by the correct Officer – this applies even if the form has been hand-delivered to Loxley House

For office use only

ACTION / DATE / COMMENT / LEAD OFFICER
REGISTRATION RECIEVED
CONTACT MADE
VALIDATION STARTED
VALIDATION COMPLETED
FUNDING SUPPORT VISIT (GB)

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