Data Collection Form (Epd2) (Page 2 of 2) in pdf

Data Collection Form (Epd2) Page 2

2. L

ANGUAGES

POKEN

OME

UPIL

2.1 Is English the first language of your child (the only language your child has been brought up in and hears and speaks at

home). Please circle.

Yes

2.2 If no, what is the name of the first language your child has been brought up in?

…………………………………………………………………………..(please write the name of language).

2.3 Has your child grown up hearing and speaking more than one language at home? Please circle:

Yes

If yes, please write the name(s) of these other languages:

1. [………………………………………….]

2. [……………………………………….]

[ ] I do not wish to answer question 2

ELIGION

Please tick one box only.

[ ] Baptist

[ ] Buddhist

[ ] Church of England (CofE)

[ ] Calvinist

[ ] Congregational

[ ] Greek Orthodox

[ ] Hindu

[ ] Jewish

[ ] Methodist

[ ] Muslim

[ ] Quaker

[ ] Roman Catholic

[ ] Russian Orthodox

[ ] Seven Day Adventist

[ ] Sikh

[ ] No Religion

[ ] Other (please name)

[ ] I do not wish to answer question 3

Thank you for completing this survey. Please return the form to the school within four weeks in the enclosed envelope, or by

bringing it into the school office (or by email if it has been sent to you that way).

The information collected in this form will help schools, the Local Authority and Government to ensure fairness in educational

provision. Any information you provide will be used solely to compile statistics on the school and experiences of pupils from

different backgrounds, to help ensure that all pupils have the opportunity to fulfil their potential. From time to time the

information will be passed on to the Local Authority and the Department for Education to contribute to local and national

statistics. The information will also be passed on to future schools so in most cases you will not be asked for it again.

Data Collection Form (Epd2) Page 2