Tuition Programme - Parental Referral to be completed by the parent or guardian wishing to refer their child into the programme Tuition Referral - Parents "*" indicates required fields Dear Parent or Guardian, Barnet Young Carers works in partnership with Express Tuition Ltd to deliver tuition support to young carers aged 8 – 24 who need support in one of the following areas: Core subjects: English, Maths and Science Exams preparation: GCSE, A LEVELS, SAT, 11+ Learning of a modern language Vocational or employment support Tuition support is arranged directly by our partner Express Tuition. The support consists of 10 hourly sessions of online tuition in the selected area, delivered over a period of 5 to maximum 10 weeks, depending on the availability of tutors. For a referral to be accepted the parent/guardian wishing to refer a child must upload evidence that his/her child needs such a support. This can be their latest school report or any other school or professional document where it can clearly be evidenced that support is needed in a certain area. No parental referral will be accepted without evidence of support being uploaded as part of completion of the referral form. By submitting this form, you consent for the information provided on this form to being shared with Express Tuition, who will contact you directly to arrange your child’s tuition if your child’s place is confirmed. Please note that this is a high demanded programme and there is a waiting list now with an estimated waiting period of three weeks to put new tuition in place for newly referred children. We appreciate your understanding and patience as we work with our partner to shorten the waiting time. Priority would be given to children who have not had tuition for the first time and to those students who require GCSE tuition. If your child has had tuition during the last six months he/she would be put in the waiting list but additional waiting time will be expected. Please complete the questions below Is your child registered with Barnet Young Carers?* Yes No Unsure To access the Tuition Service, your child must be registered with Barnet Young Carers. Please complete Barnet Young Carers Parental Referral.. Please email [email protected] to check with the Barnet Young Carers team to check that your child is registered. Name of Parent/Guardian* First Last Email* Contact Number*Name of Young Carer* First Last Age* School/College*-Please select from options-AkivaAll Saints' CE N20All Saints' CE NW2Alma PrimaryArcher Academy (The)Ark Pioneer AcademyAshmoleBarnet and Southgate College (Further Education College)BarnfieldBeis YaakovBeit Shvidler PrimaryBell LaneBishop Douglass CatholicBlessed Dominic CatholicBroadfieldsBrookhill (N)Brookland InfantBrookland JuniorBrunswick ParkChalgroveChilds HillChrist Church CEChrist's College FinchleyChurch HillClaremontColindaleCompton (The)Coppetts WoodCopthallCourtlandCromer RoadDanegroveDeansbrook InfantDeansbrook JuniorDollis PrimaryEast BarnetEdgware PrimaryEtz ChaimFairwayFinchley Catholic HighFirst Rung Training ProviderFouldsFriern BarnetFrith ManorGarden Suburb InfantGarden Suburb JuniorGoldbeatersGrasvenor Avenue InfantHampden Way (N)Hampstead SchoolHasmonean High SchoolHasmonean PrimaryHendonHenrietta Barnett (The)HollickwoodHolly ParkHoly Trinity CEIndependent Jewish DayJCoSSLivingstoneLondon AcademyManorsideMapledownMartin PrimaryMathilda Marks KennedyMenorah FoundationMenorah High School For GirlsMenorah PrimaryMill Hill County HighMillbrook Park SchoolMonken Hadley CEMonkfrithMoss Hall InfantMoss Hall JuniorMoss Hall NurseryNorthsideNorthwayOak LodgeOakleighOsidgeOur Lady of Lourdes CatholicPardes HouseParkfieldQueen Elizabeth's (Boys)Queen Elizabeth's GirlsQueenswell Infant & NurseryQueenswell JuniorRimon Jewish PrimaryRosh PinahSacks Morasha Jewish Primary SchoolSacred Heart CatholicSaracens High SchoolShalom Noam Primary SchoolSt Agnes' CatholicSt Andrew the Apostle Greek Orthodox SchoolSt Andrew's CESt Catherine's CatholicSt James CoE Primary SchoolSt James' Catholic HighSt John's CE N11St John's CE N20St Joseph's Catholic PrimarySt Margaret's NurserySt Mary's & St John's CESt Mary's CE EN4St Mary's CE N3St Michael's Catholic GrammarSt Paul's CE N11St Paul's CE NW7St Theresa's CatholicSt Vincent's CatholicSummersideSunnyfieldsThe Annunciation Catholic InfantThe Annunciation Catholic JuniorThe HydeThe OrionThe Totteridge AcademyTrent CETudorUnderhillWatling Park Free SchoolWessex GardensWhitefieldWhitings HillWoodcroftWoodhouse CollegeWoodridgeWren AcademyDo Not KnowNot ListedIf Not Listed, please give School/College Name* Please upload a copy of your child's latest school report*Max. file size: 100 MB.Should you need guidance in taking a screenshot, please watch this YouTube video How to Take a Screenshot on Windows 10Has your child received tuition through Barnet Young Carers before?* Yes No If yes, when did your child receive this support?* Less than six months ago More than six months ago Please select the priority subject you would like your child to be tutored in.* English Mathematics Science Exam preparation (GCSE, A levels, 11+, SATS) Career / employment support English (As a second language) Study of a modern language What are the reasons why you want your child to be tutored in the selected area?*Does your child have any special educational needs or additional needs that we should be aware of? I.e. Autism, Learning Disability, ADHD etc* Yes No Please give further details of any additional needs*Emergency Contact DetailsName of Emergency Contact* First Last Contact Number of Emergency Contact*