STEP Self-Referral | Trafford Parents Forum

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STEP Self Referral

Ethnicity

Faith. Which group do you most identify with? (optional)

Gender (optional)

School attending

I am happy for STEP to store my information. (All information you share with STEP is treated confidentially and stored on a secure database.)

Yes

I consent to STEP contacting me via:

Telephone

SMS

I prefer to be contacted via:

Telephone

SMS

Information about your family situation and your child/young person with SEND: (Please include any details that could be relevant e.g. type of SEND, stage of assessment/diagnosis, support from school, daily challenges etc.) (optional)

Type of Support Requested (optional)

Emotional/day-to-day

Completing Benefit Application(s)

Preparing for or support in a meeting

Navigating the Local Offer

Unsure

Other

Where did you hear about STEP (optional)

Trafford Parents Forum/website

Trafford Team Together

Early Help

Trafford's First Response

Homestart

STEP Facebook Page

SENDIASS

Other

TPF Closed Facebook Group

Other (optional)

Further Information (Please detail any additional needs you have yourself and if there is anything we can do to make the service more accessible for you) (optional)

We will only share personal information without consent where a failure to do so would lead to a risk of significant harm to you or others. Please tick Yes to confirm you have read and understand this.

Yes

Declaration

I have read and accept the privacy policy

Communication preferences

If you are a human, ignore this field

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