Evaluation Form

Evaluation Form

Please note the maximum number of pupils for one class at a time, is approx 30 pupils

Please note if your school is outside Kirklees there will be a charge of Ł100 per visit

Book a Visit

You can book a visit to a faith centre using the form below. Please have a look at the calendar for the relevant faith centre before you book to see if the day you wish to visit is available.

An average visit lasts 2 hours including a break in the middle.

I have read the protocols for the Faith Centre and agree to abide by them
(This is important as there are issues of respect etc at several Faith Centres eg head scarves at the Gurdwara; long skirts at the Masjid)

I have read the risk assessment for the Faith Centre

I agree to complete the evaluation form within 10 working days (2 weeks). I understand that if I fail to do so the school may be invoiced for the visit.

Name of School:*
Address:
Contact Name:*
Email:*
Tel:*
Mobile:*
This will be used to contact you when you are on the visit in case of an emergency
Faith centre you would like to visit:
LEA:
Date:*
Estimated time of arrival:*
Estimated time of departure:*
Year group:*
Keystage:*
No of pupils:* (Please note maximum number of children per visit is approx 30)
No of teachers:*
No of support/other staff:*
Do any children have access difficulties or other special needs? Please give details: eg dietary needs
Type of transport:
General make up of class (white, Asian, African - Carribean etc)...
Predominant faith representation of class (including `no faith')
Which unit of work is required?
What topic/unit is most suitable for you?
Any other details/points:	Can you put any alternative dates you can visit in here please
If you are not from KMC how did you hear of the Interfaith Kirklees Faith Centre Project?
Completed by:
* required fields