
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
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Date of Birth Male ~ Female | Languages Spoken | ||||||||||||||||||
First Parent/Carer | Second Parent/Carer (if applicable) | |||||||||||||||||||
Name
D.O.B |
Name
D.O.B |
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Address
Post Code: e-mail address: |
Address
Post Code: e-mail address: |
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Phone Numbers
Home
Mobile |
Phone Numbers
Home
Mobile |
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Languages Spoken | Languages Spoken
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What do you hope you and your child will gain from taking part in this programme?
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Does your child have a disability or developmental delay? If yes, is it
Queried Awaiting Diagnosis Has been Diagnosed
Details:
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Do you have any concerns or worries about your child’s health or development? Please provide details if Yes.
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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
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Is your child known to Social Services? Yes No
If yes, which team? ________________________ Name of Social Worker ___________________
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Information in relation to the IMMEDIATE Family
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Does any family member living with the child have any Disability/Mental Health issues or addiction? Please provide details if Yes
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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 _______________
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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: |
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Name of person providing statement:
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Job Title: | ||||
Address:
Post Code: |
Phone Number: | ||||
Statement :
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Signature of person providing Statement
Date |
Signature of parent/carer
Date |
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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.