1. General Details

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* 1. Full Name

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* 2. School

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* 3. Are you on pupil premium at school?

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* 4. What type of support would you like?

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* 5. Do you have a quiet place to revise and do homework at home?

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* 6. Do you have any family members able to help you with schoolwork?

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* 7. Do you have a laptop or computer you can use when needed?

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