Application Form for CPD for Further Education Teacher Trainers

Application form for CPD for Further Education Teacher Trainers

To apply for the Training for Further Education Teacher Trainers’ pilot module please complete the details below and submit this form. We will contact you by e-mail in a few days to acknowledge receipt of your application.

*Required

Please indicate which course you are applying for *:

March 27, April 4, April 25, May 2

June 6, 13, 20, 27

*Required

Contact details

Please enter these details about yourself.

·  Surname/ Family Name*

·  First name(s)*

·  E-mail address*

·  Work telephone number

·  Mobile telephone number*

Organisation

Please enter details of the organisation that you work for.

·  Organisation name*

·  Organisation address*

·  Organisation Postcode*

·  Organisation type*:

o  FE College

o  Independent Training Provider

o  Offender Learning/Secure Estate

o  Adult & Community Learning

o  Other (state)

Job Role

Please enter the following details of your current job role.

·  Job title*

·  Current teacher educator duties * (Please select all that apply):

o  Teach DET

o  Teach CET

o  Teach Award

o  Do not currently teach these, but expect to soon

o  Other (please state)

Length of time in Teacher Training Post

·  Not yet in post

·  0-6 months

·  6-12 months

·  1-2 years

Qualifications

·  Highest qualification*

o  Other postgraduate qualification

o  Masters degree or equivalent

o  First Degree

o  A-levels

o  GCSE maths A*-C

o  Other (please state)

·  Do you have a teaching qualification?*

o  PTLLS/AET

o  CTLLS/CET

o  DTLLS/DET/CertEd/PGCE or equivalent

o  Other teaching qualification (please specify)

o  No teaching qualification at present

Support/Access needs

·  Do you have a physical or other disability/learning difficulty or medical condition which might necessitate special arrangements or facilities?

o  Yes

o  No

·  Disability or support needs (Please select all that apply)

o  Specific learning disability (e.g. dyslexia, dyspraxia)

o  Blind/partially sighted

o  Deaf/hearing impairment

o  Wheelchair user/mobility difficulties\Autistic Spectrum Disorder/Asperger’s Syndrome

o  Mental health difficulties

o  Other (please specify)

·  If you have said yes to any of the above, please explain how you would like to be supported

If you prefer to discuss this with one of the team by phone, please say.

Personal Statement

Please provide a short statement explaining why you would like to attend this course and what you hope to gain from it.