Questionnaire

1. Do you think the values of the proposed Academy are the right ones?

Yes

No

Unsure

What are your reasons?

2. Do you think we have the right approach for joint working
with Stubbin Wood Special School?

Yes

No

Unsure

What are your reasons?

3. Do you think we have the right approach for working with
the community and other partners?

Yes

No

Unsure

What are your reasons?

4. Other than educational uses, what additional community
benefits or uses do you feel the Academy could serve?

Yes

No

Unsure

What are your reasons?

5. What do you think the Academy should be called?

6. Do you have any other comments/observations
on this proposal?

Your contact information:

Name :
Address :
Postcode :
Email :
Telephone :

Do you want us to keep you informed about the proposed
Shirebrook Academy?

Yes keep me informed.

Data Protection Act 1998 - the Data Controller is ALLRoads. Place Group has been appointed to collect information on the ALLRoads behalf. Any personal information provided may be shared with representatives of the partner organisations in order to develop plans for the proposed Shirebrook