Yes                 No                                                         If so, what?

Square

The 2 Year Old Offer

Early Years Business Support Team

Stoke-on-Trent City Council

Floor 1

Civic Centre

Glebe Street

ST4 1HH

Free Early Education for 2 Year Olds

The Application

It is essential that you complete all of the shaded fields

 

Child

First names(s)

Ethnicity (Please tick one option below)

Last Name

Date of Birth                                /              /

 

White, British

 

 

White, Irish

 

 

Traveller of

Irish Heritage

 

White, any

other White

Background

 

Gypsy / Roma              

     

Mixed, White &

Black

Caribbean

 

Mixed, White &

Black African

 

Mixed White &

Asian

 

Mixed, any

other mixed

background

 

Asian/Asian

British, Indian            

     

Asian/Asian

British/other Asian

Background

 

Asian/Asian British,

Bangladeshi

 

Asian/Asian British,

Pakistani

 

Black/Black British-

Caribbean

 

 

Black/Black British-

African        

     

Black/Black

British/other Black

background

 

Chinese

 

 

Any other ethnic

background

 

Did not wish to be

recorded

 

 

Not Obtained

Parent/Guardian

First names(s)

Last Name

Address

 

 

                                                                                                                                                                      Postcode

Telephone

NI Number

*NASS Number

Date of Birth                                /              /

* For those claiming Asylum

Referer (if different from previously stated)

First names(s)

Last Name

Relationship

Telephone

E-mail

Are you currently accessing services from Stoke-on-Trent Children's Centres?

I would like a Children's Centre to contact me and offer support with

  • Home Safety

  • Establishing routines and boundaries

  • Healthy mealtimes and snacks

  • General support to access the Children's Centre

  • Activity ideas to support child development

  • Access to courses and employment advice

  • Volunteering opportunities

  • Other support please contact me to discuss

If you do not tick a category of support a member of our Children's Centre team may contact you to discuss the activities and services available to you from your local centre. If you do not wish to be contacted please tick

CONFIDENTIALITY AGREEMENT

I agree that any personal and/or confidential information, howsoever shared, is only to be used for developing appropriate responses to meet my family's needs. The information will only be quoted or used when necessary in the course of, and in order to carry out decisions relating to the offer. It will not be used for any other reason without the permission of the data owner. Any information will be handled safely and ultimatey disposed of in a secure manner and in accordance with the Data Protection Act 1998. I consent to the processing of my personal information for the above purpose.

Parent/Guardian

Signature:

 

 

Date of Application

Important Guidance

An application for Free Early Education for 2 Year Olds can be made for children aged 21 months or older.

Children who are offered a place on a 2 Year Old Offer can access free early education from the term following their second birthday.

Any approved funding applications will receive a confirmation letter with an expiry date.

To secure your funded place you must ensure that you complete and return a signed parental declaration provided to you via your chosen childcare provider before the expiry date of your offer letter.

Should you have any further queries please do not hesitate to call the Early Years Business Support Team on 01782 234803 or email: earlyyearsbusiness@stoke.gov.uk