Forms home Home to College Transport Application Form Please read the privacy statement to know about how we will use your information Privacy Policy This form should be used to apply for SEN Home to College Travel Assistance. This service is for students who have special educational needs, disabilities or medical needs. Supporting evidence must be supplied with the application. Step 1 of 6 16% This form should be used to apply for SEN Home to College Travel Assistance. This service is for students who have special educational needs, disabilities or medical needs. Supporting evidence must be supplied with the application. All first time applicants must have a completed Education Health Care Plan/Assessment. The application cannot be processed unless this department has a copy of the Education Health Care Plan/Assessment and it is the parent/carers responsibility to ensure a copy is available. Travel Assistance is provided at the department’s discretion and if agreed, could be provided in any of the following ways: free travel with an Oyster photo-card provided transport for London provision of a TfL travel card training to travel independently (walking and using public transport) allocation of a Personal Transport Budget paying agreed cost based on mileage from home to place of education in exceptional circumstances, the provision of a space on a suitable vehicle Additional important information: It takes 4 weeks to process a completed application form. A completed application includes the Education Health Care Plan and any other supporting evidence. This department may assess applicants. If assistance is provided, please note that it is reviewed regularly and is subject to change. Section 1: Details of student and courseName First Last GenderMaleFemaleDate of Birth Date Format: DD slash MM slash YYYY AddressFind addressSelected address Enter your postcode in Redbrige to select your addressAddress(Required) Street Address Address Line 2 City AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire County Postcode Age (in September; at start of college)Student Mobile No:If you do not wish for the student to be contacted directly with transport updates, please leave blankDetails of the college attending in September:College name:College address Street Address Address Line 2 City AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire County Postcode Course Studying:Course duration:College Contact Name:College Contact Number:Date course starts: Date Format: DD slash MM slash YYYY Once supporting documents have been received it takes 4 weeks to process an application Section 2: Details of parent/carerAre you in receipt of higher rate mobility component (HRMC) of the Disability Living Allowance(DLA) for your young person?(Required)YesNoDoes your young person have a mobility vehicle?(Required)YesNoPlease explain why it is not possible to use the vehicle to transport your young person to college?(Required)Title:MrMrsMsMissRev.Fr.Dr.ProfHonSirLordLadyName: First Last AddressFind addressSelected address Enter your postcode in Redbrige to select your address (if same as child, leave blank)Address Street Address Address Line 2 City AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire County Postcode Home telephone number:Work telephone number:Mobile telephone number:(Required)* A mobile number must be provided as transport updates are sent by text message. Do you want a copy of this application details to be sent to you?(Required)YesNoIf yes, an email address must be provided on the email field belowEmail:(Required) Enter Email Confirm Email Email: Section 3: Details of college timesPlease indicate days and times transport will be required:Monday start time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Monday finish time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Tuesday start time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Tuesday finish time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Wednesday start time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Wednesday finish time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Thursday start time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Thursday finish time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Friday start time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Friday finish time05:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:00Please indicate in the box below if college times are different (provide as much details as possible) Section 4: Why travel assistance is requiredThis section MUST be completed or assistance will not be providedA) Why does pupil need assistance? Please include all medical needs if applicable.B) Does the student have a current Educational Health Care Plan (EHCP)?(Required)YesNoC) Did the student receive transport whilst attending school?(Required)YesNoD) Would the student be able to travel to college on public transport even if accompanied?(Required)YesNoE) Please give reasons why?F) Any other relevant information Section 5Declaration(Required) I declare that to the best of my knowledge the information I have given is correct and complete. I will inform the Special Educational Needs & Inclusion Services if any details I have given change. I agree that if transport assistance is agreed, the information I have given may be shared with Redbridge Transport Services to provide my child with safe and appropriate transport. Data ProtectionYour personal information will be held and used in accordance with the requirements of the Data Protection Act 1998. We have a duty to protect the public funds we administer and may use the information you provide for the prevention and detection of fraud. We may also share this information with other bodies responsible for auditing or administering public funds for these purposes.It can take up to 4 weeks to process an application form