2014 Ontario/ New South Wales UK International Principals’/Headteacher/OfficerExchange
Application Form
Please tickthe appropriate box:-____ Ontario/Worcester area, UK Exchange
(Part 1 in the UKearly July 2014 for 12 days, and
Part 2 in Ontario late October 2014for 12 days)
____ New South Wales/ Worcester area, UK exchange
(Part 1 in New South Wales 27 July 2014 for 12 days, and Part 2 in UKin
September 2014 for 12 days)
_____ I am willing/ interested to be a part of the above exchange/s.
1. Basic Information:
Name: ______- Position :
- School / Organisation Name :
- School / organisation Address :
- School Telephone and Fax Numbers:
- Home Address:
- Home Telephone Number:
- Mobile Telephone Number:
- E-mail Addresses:
2. Brief professional history (bullet form acceptable):
3. Brief description of your school/ organisation/system’s profile:
Description of the main focus, area of desired research/enquiry with Ontario and or New South Wales…
To be researched into before, during and after the international visit to Ontario/ New South Wales with University of Worcester:-
- Relevance of my research,enquiry to national and organisational initiatives and priorities:
- Expectations about how the research/enquiryfindings,will informmy practice:
- Relationship and potential impact of the visit,to any external benchmarks (e.g. national leadership standards) for Head teachers/ Deputy Assistant Heads/ Officers:OfSTED; Appraisal:-
6. Family profile for matching/accommodation purposes. Please also identify livingarrangements, proximity to railways/buses, etc.
Do you have any allergies/medical/ dietary needs/ conditions that should be considered for billeting arrangements? (Forexampleallergic to cats/dogs?)
Yes No
If yes, please specify:
Is it your intention that your partner and/or children will accompanyyou? Would you be able/willing to welcome your professional partner’spartner/family when they visit the UK in 2014?
Yes No
If yes, give particulars:
7. Personal Interests, Hobbies and/or Suggestions to Hosts regarding Entertainment - for example, you enjoy the opera, would love to see a rugby match,or would you be happy exploring Ontario/ New South Wales?
8. I agree to the terms identified in the ‘framework’ e.g. self-funding of the visit and the £250 administrative fee (this relates to LEAP Ontario).
LEAP AUS will provide separate administrative procedures
9. Application due date and selection process:
Please send your application electronically/ and also a hard copy to:-Tom Whittingham (e-mail ) ( at address below)by 31 January, 2014
Note: 1. Applications will be reviewed by the LEAP Committee at the University of Worcester
2. Recommended applications will then be forwarded to the LEAP Coordinators in Ontario and in New South Wales, whowill then in partnership with Tom,manage the matching process.
3. Educators whose applications have been matched with an Ontario Principal and or a New South Wales Principal willbe informed bylate March/ early April 2014
9. Trip Extensions:
Do you plan to either have a vacation either prior to the beginningafter the exchange?
Yes No
If yes, please outline your current thinking: this will be of course
subject to approval by you school organisation.
Signed
Date
Please post a hard copy to:-
Tom Whittingham,
Head of External development,
Institute of Education,
University of Worcester, Henwick Grove,
Worcester WR2 6AJ