Referrals

World Alternative Education

If you have a young person who you feel would benefit from attending World Alternative Education then please complete and submit the student referral form below.

We are happy to receive referrals from any organisation including directly from parents and schools.

Student Referral Form

Please complete and submit your referral using the form below.

Student Details

First Name (Student)

Last Name (Student)

Date of Birth (Student)

Age (Student)

Year Group (Student)

Address (Student)

Postcode (Student)

UPN (Student)

Contact 1 Details

Relationship (Parent/Carer)

Contact Details (Parent/Carer)

Contact 2 Details

Relationship (Parent/Carer)

Contact Details (Parent/Carer)

More Information

Name of referring school

School contact name and position

School contact number

Reason for referral

Current Maths grade

Current English grade

Does the student have any Special Educational Needs?

Yes No

For general enquiries/referrals send to:

Email: agbworld365@gmail.com

If you have any questions or difficulties completing the form or would just like to have an informal discussion about what we could offer then feel free to contact Andy on:

Mobile: 07792 834 117
Email: agbworld365@gmail.com