PERMANENT EXCLUSION APPEAL

Appeal Ref Number Office use only

Please do not complete this box

Email *

We will use this e mail address to contact you.

Name of school appealing against *

Your home address - Address line 1 *

Address line 2 *

Address line 3 *

Postcode *

Student's first name *

Student's last name *

Date of Birth *

dd-MMM-yyyy

Mr/Mrs/Ms/other *

Your last name *

Relationship to child *

Mobile Phone *

Name and capacity of other persons who will accompany you to the hearing. We encourage you to bring your son or daughter, this is about their future. *

Tell us about your own disability which might prevent you from attending the hearing. If none, please type 'NONE' *

We find that the best translators are family or friends. Please select one of the following *

Please check one box

Which language?

Education Health Care Plans. Please select *

Please check one box

Name, email and mobile phone number of Social Worker

Appeal hearings are always heard during the day. Please state any dates we should try to avoid. If there are no such dates, please type 'NONE' *

REGULATION 8 states you MUST state your grounds AND your reasons. PLEASE TICK which of the grounds you are appealing under (it must be one or more) AND give FULL reasons. You must also explain how you believe any SEN issues contributed to the permanent exclusion.

If YES, please give your reasons, if no write 'NONE" *

Upload up to 5 additional PDF or doc files you wish the panel to see. If you have additional documents, please email clerk@educationappeals.com

Declaration *

· I confirm that I have read the letter from the Clerk to Governors and understand the role and powers of the Review Panel. I have already read the booklet about appeals and the grounds under which I may appeal.

· I wish to exercise my right to appeal against a permanent exclusion in accordance with the Education Act 2011.

· I certify that I am the person with parental responsibility for the child named in section 1 and the information given is true to the best of my knowledge and belief.

I confirm that the information I have provided can be shared with the panel, clerk and the school.

· I understand that if I do not attend the hearing, my appeal will be heard in my absence using the information I have supplied on this form together with any other information sent to the Clerk to the Appeals Panel before my hearing date.

Please tick to confirm the above declaration

Today's Date

dd-MMM-yyyy

For office use only

PERMANENT EXCLUSION APPEAL

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