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Pupil's name .................
Class/Form .................
Our ethnic background describes how we think of ourselves. This may be based on many things, including, for example, our skin colour, language, culture, ancestry or family history. Ethnic background is not the same as nationality or country of birth.
The Information Commissioner (formerly the Data Protection Registrar) recommends that young people aged over 11 years old have the opportunity to decide their own ethnic identity. Parents or those with parental responsibility are asked to support or advise those children aged over 11 in making this decision, wherever necessary. Pupils aged 16 or over can make this decision for themselves.
Please study the list below and tick one box only to indicate the ethnic background of the pupil or child named above. Please also tick whether the form was filled in by a parent or the pupil.
White
- [ ] British
- [ ] Irish
- [ ] Traveller of Irish Heritage
- [ ] Gypsy/Roma
- [ ] Any other White background
Mixed
- [ ] White and Black Caribbean
- [ ] White and Black African
- [ ] White and Asian
- [ ] Any other mixed background
Asian or Asian British
- [ ] Indian
- [ ] Pakistani
- [ ] Bangladeshi
- [ ] Any other Asian background
Black or Black British
- [ ] Caribbean
- [ ] African
- [ ] Any other Black background
[ ] Chinese
[ ] Any other ethnic background
[ ] I do not wish an ethnic background category to be recorded
This information was
provided by: |
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| Parent |
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| Pupil |
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Please return the form to the school within four weeks in the enclosed envelope, or by bringing it into the school office (or by email if it's been sent to you that way).
(Any information you provide will be used solely to compile statistics on the school careers and experiences of pupils from different ethnic backgrounds, to help ensure that all pupils have the opportunity to fulfil their potential. These statistics will not allow individual pupils to be identified. From time to time the information will be passed on to the Local Education Authority and the Department for Children, Schools and Families(DCSF) to contribute to local and national statistics. The information will also be passed on to future schools, to save it having to be asked for again.)
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