EmailMe Form - DAISI QLA for Current Y6 Pupils

School Name *

DfE School Number *

School Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

School Type *

Telephone number

Purchase Order Number (if applicable)

Your Email address *

Email address for sending reports (if different)

Email address for invoicing (if different)

Head Teacher *

Comments

Please confirm *

Year 5 - I wish to order my school's Question Level Analysis for my current Year 5. I confirm that I am authorized on behalf of the school to order this.

Year 6 - I wish to order my school's Question Level Analysis for my current Year 6. I confirm that I am authorized on behalf of the school to order this.

Which subjects do you want us to analyse?

Which papers are your pupils doing?

Data from Pupil Test Results

Instructions for generating your school's spreadsheet will be sent with your order confirmation.

Please confirm *

Once I receive the instructions, I will input my pupil data into the spreadsheet and send it to you securely.

I authorise you to use our data to create the QLA reports. *

Yes

Please create a password. We will use this for emailing your reports back to you.

Privacy

This form is hosted by EmailMeForm LLC, whose privacy statement can be found at https://app.emailmeform.com/v-privacy.html

We will look up your pupils in "Key to Success" to download their characteristics (FSM, EAL etc.).

The information will be sent to the DAISI Service of Nottingham City Council for use in creating your Question Level Analysis reports. It will not be used for any other purpose unless otherwise agreed.

Your School's Declaration

I have read and completed all the above sections, and agree with their contents.

I authorise you to access our data. *

Yes

Your Name

Your Position

Date

DD / MM / YYYY