Please select category from list before completing form

Children Missing Education

*Name of School completing the Referral:

*School Email:

Select Category

Child missing education [Only complete when the pupil has been removed from the school roll, and no new school is known ]

Pupil Roll Removal [To be completed, when a pupil is removed from your school roll and has been confirmed, as starting at the destination school]

Pupil removed to be electively home educated (EHE) [Complete FORM1 & send to ehe@suffolk.gov.uk]

Pupil Admit to Role [All Schools, Academies, Independent and Free Schools must complete for all new pupil’s, admitted to the School Register]

CME Referrals - See list of Pupil Removal Guidance for Suffolk Schools, please note the CME Team
will refuse a referral which does not state the appropriate grounds for deletion.

*Pupil Regulation 9.1 Appropriate
Code for Pupil Deletion:

*Last name of child:

*First name of child:

Other names:

*Date of birth:
(The CME team will only accept referrals for statutory school age pupils)

For a SCC Admissions Team Referral Only

(tick if applicable)

Ethnicity:

Preferred Language (if not English)

Pupil in Receipt of High Needs Funding?
(Please only tick if HNF is being received for this pupil. Do not tick for Pupil Premium pupils only )

(Band C and above only)

*Sex:

Male

Female

Other

UPN:

*Parents/Carers names:

*Parents/Carers contact numbers:

Email address:

*Last known address:

*Postcode:

New address:
(Please include Postcode)

Date of move:

*If the pupil has moved abroad, has the Parent / Carer confirmed that the move is permanent and that the new address abroad is now the pupil’s ‘ordinary and permanent’ address? The new address must be entered below and code G must apply. NB The parent/carer must have advised you of the new address abroad in writing BEFORE pupil removal. If in doubt, please contact CME@Suffolk.gov.uk for guidance of when to remove a pupil from the school register

Yes

*Is the child at risk of exploitation, or does the school have any exploitation concerns?
(For schools to complete ‘Yes’ only, if applicable).

Yes

*Has the pupil been permanently excluded (upheld), from a Suffolk School ? Y / N

Yes

Last school/provision attended:

Date last attended:

(If known)

*Does the child have an EHC plan:

Yes

*Is this pupil in current year 11?

Yes

*Is there SENCO involvement?

Yes

*Is there any professional involvement with child/family?

Yes

*Name and contact details of EWO, social/support worker(s):

*Grounds for pupil removal

*Date and description of phone call(s) to Parent(s) / Carer(s) / All other contacts held

*Date and description of email(s) issued to Parent(s) / Carer(s) / All other contacts held:

*Date and description of home visit(s) made to the last known residential address of the pupil:

Please note that for SCC school referrals only, if all reasonable enquiries, I.E telephone call(s), email(s) and a home visit(s) have not been completed prior to this submission and stated here on the CME Missing Referral screen, the CME Referral may be refused by the CME Team. If the screen is being completed by a non- SCC school, please write ‘none’ in the required fields.

Is this pupil a CIC pupil?

Yes

*Date removed:

New school(if known):

Start date(if known):

*Name of school/professional:

*Role within school and contact phone number:

*Date:

For Code A to apply, the 4 boxes above MUST ALL be completed and pupil confirmation MUST be ticked.
If this cannot be confirmed, then the Child Missing Education box MUST be ticked and a CME Referral made instead.

*Pupil Regulation 9.1 Appropriate
Code for Pupil Deletion:

*Last name of child:

*First name of child:

Other names:

*Date of birth:
(The CME team will only accept referrals for statutory school age pupils)

Ethnicity:

Pupil in Receipt of High Needs Funding?
(Please only tick if HNF is being received for this pupil. Do not tick for Pupil Premium pupils only )

(Band C and above only)

*Sex:

Male

Female

Other

UPN:

*Parents/Carers names:

*Parents/Carers contact numbers:

Email address:

*Last known address:

*Postcode:

New address:
(Please include Postcode)

Date of move:

Last school/provision attended:

Date last attended:

(If known)

*Is the child at risk of exploitation, or does the school have any exploitation concerns?
(For schools to complete ‘Yes’ only, if applicable).

Yes

*Does the child have an EHC plan:

Yes

*Is this pupil in current year 11?

Yes

Is this pupil a CIC pupil?

Yes

*Date removed:

*New school:

*Start date:

*Confirmation pupil on role:

(pupil must be confirmed on role to submit form)

*Name of school/professional:

*Role within school and contact phone number:

*Date:

*Pupil Regulation 9.1 Appropriate
Code for Pupil Deletion:

For Code F to apply, the school MUST have received a de-registration letter from the Parent / Carer, before the pupil may be removed from the school roll. The de-registration letter MUST state the intention to Electively Home Educate AND the date this will commence. A copy of the de-registration MUST be emailed to the CME Team. FORM1 MUST also be completed and emailed to the EHE Team, also with a copy of the de-registration letter. If a de-registration letter has not been received by the school, then the pupil MUST remain on the school roll, until it has been received.

*Last name of child:

*First name of child:

Other names:

*Date of birth:
(The CME team will only accept referrals for statutory school age pupils)

Ethnicity:

Preferred Language (if not English)

Pupil in Receipt of High Needs Funding?
(Please only tick if HNF is being received for this pupil. Do not tick for Pupil Premium pupils only )

(Band C and above only)

*Sex:

Male

Female

Other

UPN:

*Parents/Carers names:

*Parents/Carers contact numbers:

Email address:

*Last known address:

*Postcode:

New address:
(Please include Postcode)

Date of move:

Last school/provision attended:

Date last attended:

(If known)

*Does the child have an EHC plan:

Yes

*Is the child at risk of exploitation, or does the school have any exploitation concerns?
(For schools to complete ‘Yes’ only, if applicable).

Yes

*Is there SENCO involvement?

Yes

*Is there any professional involvement with child/family ?

Yes

*Name and contact details of EWO, social/support worker(s):

*Grounds for pupil removal from roll & description of all enquires made and relevant information:

*Reason given for Parent to electively home educate:

Is this pupil a CIC pupil?

Yes

*Is this pupil in current year 11?

Yes

*Date removed:

*Name of school/professional:

*Role within school and contact phone number:

*Date:

*Last name of child:

*First name of child:

Other names:

*Date of birth:
(The CME team will only accept referrals for statutory school age pupils)

Ethnicity:

*Sex:

Male

Female

Other

UPN:

*Parents/Carers names:

*Parents/Carers contact numbers:

Email address:

*Last known address:

*Postcode:

Last school/provision attended:

Date last attended:

(If known)

*Does the child have an EHC plan:

Yes

*Is this pupil in current year 11?

Yes

*Start date for new admission:

*Name of school/professional:

*Role within school and contact phone number:

*Date: