You must answer all questions marked with *

Q1

* School Name:

Q2

* Town:

Q3

* Partnership (Cluster):

Q4

* Name of HOS Recipient(s):

Q5

* Name of HOS Provider:

Q6

* Number of days of support:

Q7

* Date(s) of support:

Q8

Year Group:

Q9

Number of Pupils:

Q10	* Project / Areas for development / Agreed focus for support:

Q11	* ICT resources available in school to support the above:

Data Protection Kent County Council is a data controller under the Data Protection Act 1998 and will comply with the requirements of the Act at all times.  We will ensure that your information is treated in confidence and used only for the purpose of monitoring Hands on Support activity.