Statutory notice to open a specialist centre at Worplesdon Primary School

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Closes 21 Oct 2019


1. What is your name?
2. What is your email address?

This is optional, but if you enter your email address you can return to your consultation until you submit it and will receive an acknowledgement email.

3. What is your relationship with one or both school(s)?
Other relationship - please specify
4. What is your postcode?
5. Do you agree with the proposal to open a specialist centre at Worplesdon Primary School in partnership with Freemantles School?
6. Do you have any further comments?
7. Equality and diversity monitoring - Surrey County Council is committed to developing and delivering services that reflect the diverse communities that we serve. It is important that we monitor and analyse diversity information so that we can make sure that the work we do considers all of our residents, and does not have an adverse impact on any particular group. Your cooperation in providing us with accurate data will help to ensure that we meet our legal obligations, but more importantly will result in us designing and delivering services that meet the needs of our residents. Any information provided in question 7 will be treated as strictly confidential and will be used for statistical purposes only. It will not be published or used in any way which allows any individual to be identified.
7a. Age - Which of these age groups do you belong to?
Age group
7b. Disability - The Disability Discrimination Act 1995 (DDA) defines a person as disabled if they have a physical or mental impairment which has a substantial and long term adverse effect on one's ability to carry out normal day to day activities. This includes conditions such as cancer, HIV, mental illness and learning disabilities. Do you consider yourself to have a disability according to the above definition?
7c. Gender - are you
7d. Ethnicity - Please state what you consider your ethnic origin to be. Ethnicity is distinct from nationality, and the categories below are based on the 2011 Census. Ethnic origin categories are not about nationality, place of birth or citizenship. They are about the group you feel you belong to as an individual. Which one of these groups do you belong to?
Any other background - please specify
7e. Marital status - are you
7f. Faith - Which of the following faith and belief groups do you identify with?
Other faith or belief - please specify
7g. Carer - Do you have caring responsibilities?
7h. Language - Please state what you consider your main language or mother tongue to be
7i. English - If English is not your main language, how good are you at speaking/understanding English?