TeamADL - 365 SEND Engagement Form

365 SEND Engagement Form

Organisation Name*

Are you representing a Company? Complete this field with your Company Name. Or, if you are doing business as an Individual, then leave this field blank.

Select all the age groupings your school covers*

Which description best describes your setting*

First Name*

Last Name*

Your role*

Name of parent organisation e.g. Trust or Federation (if relevant)

Address Line 1*

Address Line 2

City*

ZIP / Postal Code*

Country*

Primary Phone*

I am authorised on behalf of our organisation to communicate our commitment to engaging in the 3-year project 365 SEND.

We will:

Ensure we involve ALL 6 people groups in planning our involvement in a meaningful way over the 3 years, so as to truly capacity build our SEND provision.
We will pay the annual invoice for three years in a timely manner. (£365 per year i.e., a £1 a day investment in inclusion for 3 years) *
We will sign the Service Level Agreement within the time specified.

Name on invoice*

Role*

Invoice Email*

Please supply us with a generic email for your access to documents and information that can be shared amongst your 6 people groups. This is an email address that will be used, even if personnel change

Primary Email*

Signed*

Date*

*Price subject to VAT

This forms signs you and your organisation up for 365 SEND (3 year programme at £1 / day for 3 years). What this means it is the data you submit below will set up your unique portfolio space. Please ensure your data entry is accurate, including appropriate use of capital letters and punctuation. On receipt of your form being submitted, you will be issued with an invoice. We look forward to you being part of the 365 SEND Community.