Free School Meal and Pupil Premium Checker Form
This form is for parent/carer's of children in Nursery, Reception, Year 1 and Year 2classes to apply for Pupil Premium and for parent/carer’s of children in KS2, 3 and 4 to apply for Free School Meals.
Pupil's Name
*
First Name
Last Name
Pupil Date of Birth
*
-
Day
-
Month
Year
Date
Parent or Carer's FULL Name
*
First Name
Middle Name
Last Name
Parent or Carers Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Parent or Carer's National Insurance Number (eg AA123456B)
*
Parent or Carer's National Asylum Seeker Number (if applicable) (eg 1907/12345)
Parent's Email address (for verification purposes)
*
example@example.com
Please tick the following:
*
I give my permission for my child's school / academy to use the information I have provided to check my details against the 'Pupil Premium Eligibility Checker Service'
I give my permission for the school / academy to re-check myinformation from the date I have signed this form until my child leaves education.
I declare that I have parental responsibility for the child named on this form.
Date
*
-
Day
-
Month
Year
Date
Submit
Should be Empty: