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* 1. School Name

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* 2. Contact Address

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* 3. Contact Name & Position

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* 4. Email Address

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* 5. Telephone number

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* 6. Free School Meal Percentage (excluding P1-3)

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* 7. Scottish Index of Multiple Deprivation (percentage of pupils coming from deciles 1-4)

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* 8. Please tell us how a Golden Ticket would benefit your school

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* 9. How often would your anticipate using a Golden Ticket, and for which year groups?

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* 10. Please provide any further information you feel would support your application.

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