SureStart Ards News

Application forms for SureStart Developmental Programme for 2-3 Year Olds

Expression of interest forms are now available from our offices in Kircubbin and Dakota

The SureStart Developmental Programme for 2-3 Year Olds is one of a wide range of Programmes which SureStart offers to families in your local area.

There are a limited number of places on the Programme, which will be offered to children and parents who can benefit most from participation in the Programme.

Submission of this Expression of Interest is no guarantee of a place on the programme.

The SureStart Developmental Programme for 2-3 Year Olds runs from September – June.  It currently runs Monday- Wednesday 9.30-12 noon.

To be considered for the programme:

  • Children must be a minimum of 2 years of age on 1st July of the intake year. Children for the next intake need to be born between 2/7/18 – 1/7/19
  • Children must live within the Sure Start area.  Ards central and Scrabo wards, Portaferry, Portavogie, Kircubbin and Ballywalter wards

 

  • The Family must be registered with the SureStart Project prior to commencement of the

programme.

  • Parents must commit to ensuring their child will attend on a regular basis (minimum of 80% attendance)
  • Parents must agree to attend regular Stay and Play sessions (minimum 80% attendance) and accept home visits

 

The closing date for expression of interest forms is Friday 2nd April 2021.  Home visits will take place around this time to determine suitability for the programme.  Allocation of places will be offered by the end of May 2021.

 

Expression of Interest Sure Start Developmental Programme for 2-3 Year Olds

 

The SureStart Developmental Programme for 2-3 Year Olds is one of a wide range of Programmes which SureStart offers to families in your local area.

 

There are a limited number of places on the Programme, which will be offered to children and parents who can benefit most from participation in the Programme.

 

Submission of this Expression of Interest is no guarantee of a place on the programme.

 

The SureStart Developmental Programme for 2-3 Year Olds runs from September – June.

 

To be considered for the programme:

  • Children must be a minimum of 2 years of age on 1st July of the intake year.
  • Children must live within the Sure Start area. Ards central and Scrabo wards, Portaferry, Portavogie, Kircubbin and Ballywalter wards

 

  • The Family must be registered with the SureStart Project prior to commencement of the

programme.

  • Parents must commit to ensuring their child will attend on a regular basis (minimum of 80% attendance)
  • Parents must agree to attend regular Stay and Play sessions (minimum 80% attendance) and accept home visits

 

NOTE:  All information provided will be treated in the strictest of confidence. In accordance with the Data Protection Act 1998 Sure Start Ards are obliged to ensure that your information is accurate and up to date. We may use the information provided on this form to update your family details currently held on our secure database.

For an application form please call in person to the offices below or email julieallen3@setrust.hscni.net

Please return to:

julieallen3@setrust.hscni.net

Or leave into SureStart Ards office

35-41 Main Street, Kircubbin or

26-28 Dakota Avenue, Newtownards.

By Friday 2 April 2021

 

Please DO NOT include any documents with this form,

e.g. Birth Certificate, proof of address.

 

Sample of Application Form

Childs Details
Name

 

Date of Birth     Male ~ Female Languages Spoken
First Parent/Carer Second Parent/Carer (if applicable)
Name

 

D.O.B

Name

 

D.O.B

Address

 

 

 

Post Code:

e-mail address:

Address

 

 

 

Post Code:

e-mail address:

Phone Numbers

Home

 

Mobile

Phone Numbers

Home

 

Mobile

Languages Spoken Languages Spoken

 

 

What do you hope you and your child will gain from taking part in this programme?

 

 

 

 

 

 

 

Does your child have a disability or developmental delay? If yes, is it

 

Queried                   Awaiting Diagnosis               Has been Diagnosed

 

Details:

 

 

 

 

 

Do you have any concerns or worries about your child’s health or development? Please provide details if Yes.

 

 

 

 

 

 

 

Please tick if your child is supported by any of the following professionals:

 

0  Consultant Paediatrician             (Name and Contact Details_____________________________)

0  Speech and Language Therapy  (Name and Contact Details_____________________________)

0  Behaviour Management             (Name and Contact Details_____________________________)

0  Health Visitor                                (Name and Contact Details_____________________________)

0  Occupational Therapist               (Name and Contact Details_____________________________)

0  Social Worker                                (Name and Contact Details_____________________________)

0  Physiotherapist                             (Name and Contact Details_____________________________)

0  Dietician                                         (Name and Contact Details_____________________________)

0  Other _________________        (Name and Contact Details_____________________________)

 

Do you give permission for us to discuss your child’s progress with the above named professionals?

(insert a ü)

YES                       NO

 

 

Is your child known to Social Services?           Yes                   No

 

If yes, which team?  ________________________  Name of Social Worker ___________________

 

Information in relation to the IMMEDIATE Family

 

Does any family member living with the child have any Disability/Mental Health issues or addiction? Please provide details if Yes

 

 

 

 

 

 

 

 

 

 

Details of other children in the family:

 

Child 1:   Name ____________________  Date of Birth_________________   Age  _______________

 

Child 2:   Name ____________________  Date of Birth_________________   Age  _______________

 

Child 3:   Name ____________________  Date of Birth_________________   Age  _______________

 

Child 4:   Name ____________________  Date of Birth_________________   Age  _______________

 

Child 5   Name ____________________  Date of Birth_________________   Age  _______________

 

Child 6:   Name ____________________  Date of Birth_________________   Age  _______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supporting Statement

Supporting Statement (From Sure Start Team Member or other relevant Professional as detailed on page 2)

The programme is suited to all two years olds but in particular those children whose development may be compromised by social, emotional, environmental or physical factors. Please note when completing this statement the response needs to clearly demonstrate how the programme will meet the child’s needs. Please include as much information as possible in relation to the child’s development and how it may be compromised for example if a parent has a disability the statement must reflect how this affects the child and how the programme can be used to support the child. Parents must co-sign all information provided.

NB: This section will not require completion by all families.  A parent cannot complete this section.

Please only use one sheet,  parents must co-sign all information provided:

Name of person providing statement:

 

 

Job Title:
Address:

 

 

Post Code:

Phone Number:
Statement :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of person providing Statement

 

 

Date

Signature of parent/carer

 

 

Date

Declaration by Parent/Carer (insert ü)
0  I confirm that all information provided is accurate

0  I confirm that my child will be 2 years of age on or before 1st July of the intake year.

0  I confirm that my child lives within the Ward areas covered Sure Start Ards.

0  I confirm that my family is registered with Sure Start Ards.

0  I confirm that I am prepared to participate in the programme by committing to attend Stay and Play sessions and accept Home Visits to discuss my child’s progress.

0  I confirm that I will ensure that my child has a minimum of 80% attendance on the programme

0  I confirm that I will attend a minimum of 80% of the Stay and Play sessions.

 

If successful you will be required to provide evidence of your child’s date of birth and address.

 

Preference of Location:

 

Please state your preference: 1st and 2nd

 

Country Tots

Maxwell’s Courtyard, Kircubbin

 

Monday, Tuesday, Wednesday 9.30-12noon

 

 

Dakota Tots

26-28 Dakota Avenue, Newtownards

 

Monday, Tuesday, Wednesday 9.30-12noon

 

 

 

Signed ____________________________Date __________________

(Parent/Carer)

 

Please return to:

 

Surestart Ards

35-41 Main Street, Kircubbin or

26-28 Dakota Avenue, Newtownards.

 

By Friday 2 April 2021

 

Please DO NOT include any documents with this form,

e.g. Birth Certificate, proof of address.

 

Please return to:

julieallen3@setrust.hscni.net

Or leave into SureStart Ards office

35-41 Main Street, Kircubbin or

26-28 Dakota Avenue, Newtownards.

By Friday 2 April 2021

 

Please DO NOT include any documents with this form,

e.g. Birth Certificate, proof of address.