EmailMe Form - Local Authority - Order Form and Permission

For GDPR reasons, we require you to formally order your package using the form below. This gives us permission to use your data and gives a clear email address for sending the reports. If you have any questions please contact us 0115 8762655.

Please insert the bespoke Quotation Code sent out with this order form.

Local Authority Name *

Quotation Code *

Contact Information

Main contact name *

Your Position *

Your Email Address *

Email address for sending LA level reports (if different) *

Invoicing

Please send a Purchase Order to mark.attwood@nottinghamcity.gov.uk

Purchase Order *

Invoicing Contact *

Email address for invoicing *

Telephone Number *

Data Permissions

To create your summary analysis, DAISI will look up your pupils using their UPNs in Key to Success to download their characteristics (FSM, EAL) and KS1 Prior Attainment.

The information provided to the DAISI Service of Nottingham City Council for use in creating your QLA report(s) will not be used for any other purpose unless otherwise agreed and will be held for up to 3 years. Data can be deleted sooner on request. The data is stored on NCC owned and locally operated secure storage drives on the NCC computer network. After the timeline outlined has elapsed, the data will deleted from our servers.

Please note.. No person identifiable data is shared beyond the DAISI Service. The reports that are sent back to your school contain personally identifiable data, and will be sent to you in an encrypted form.

I understand it is our responsibility to provide DAISI Education with the data in order to create the Analysis for our Local Authority. *

Yes

I authorise DAISI Education to access our Local Authority data to create our bespoke summary analysis. *

Yes

Password

Please create a password (at least 8 characters long).

We will use this for emailing your summary reports back to you once all the data has been received from your schools. *

Privacy

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

Our Privacy Statement can be found at http://daisi.education/privacy-notice/

Answers to other GDPR- related questions can be found at http://daisi.education/miscellaneous-questions/

Declaration

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

By signing this order form, I agree to pay the full amount as agreed with DAISI Education for the Quotation listed above.

Your Name *

Your Position *

Date

DD / MM / YYYY