For Secondary Schools
ETHNIC MINORITY ACHIEVEMENT SUPPORT SERVICE
NEWLY ARRIVED REFERRAL FORM
Please use this form to register newly arrived EAL pupils for support
Has an EMASS Addendum to the School Admission Form been completed?
School:
Tel:
Date of Referral:
Staff contact in school:
Position:
Form tutor:
Pupil name:
Gender:
Date of Birth:
Ethnicity:
Y/N
Year Group:
Date on roll:
F/T
P/T
Home Language, (include any other languages spoken at home).
Previous schooling in UK:
Previous schooling overseas:
School liaison with parents/carers to date and brief details of induction procedures:
Does the newly arrived pupil have an identified Special Educational Need?
□ Yes □ No
Is the newly arrived pupil currently being tested for a Special Education Need? □ Yes □ No
If yes, please specify:
Reason for referral:
Strategies already used to support the pupil (e.g. use of visuals, pre-teaching):
Type of support required from EMASS (e.g. lesson observation, advice):
Please indicate briefly pupil’s English language acquisition bases on NASSEA or similar:
Desired outcome of support from EMASS (e.g. raised awareness of strategies to support
Newly Arrived Pupils):
Review date:
Signed by Form Tutor: ________________
Signed by head teacher/EMACo: ______________
Date_______________________
Please note both the head teacher/EMACo and the Form Tutor should sign this form.
Please return to: Ethnic Minority Achievement Support Service, Queensway Centre, Queensway, Bletchley, MK2 2HB
Telephone: (01908) 270409 Fax: (01908) 370630
E-mail: multicultural@milton-keynes.gov.uk