Postgraduate Certificate in Education (PGCE):

PEDAGOGY AND PRACTICE

Application for 2015/16 Entry

Reference no (office use only)

1. Personal details

Surname / Forename(s): / Title
Preferred name:
Permanent Address / Date of birth / Country of birthbirthresidence / Nationality
birth
Is English your first languagelanguage? / If not, give your iELTS level
Postcode / Language?
Email address / Telephone (day) / Telephone (eve) / Mobile number

2. Educational Attainments: Degrees

Degree(s) awarded / Subject(s) studied and level(s) / Awarding institution(s) / Date(s) awarded
eg BSc / class
If your first degree is not from a UK institution, give date of NARIC recognition here.

3. Educational Attainments: Advanced Levels (or equivalent)

Advanced Level / Subject / Exam Board/Awarding Body / Date(s) awarded
A2 / AS

4. Educational Attainments: GCSE/IGSCE/O’ Levels (or equivalent)

Qualification / Subject / Exam Board/ Awarding Body / Date awarded

5. Previous and/or Current Employment

Please give brief details of dates and job titles with a brief description of role and responsibilities. This is particularly important if you are a qualified teacher.

6. Teacher Training

If you already have a GTTR or UCAS number and a NCTL/DfE number, please give them here ------
Please fill in below to show how far your teacher training has progressed. / GTTR or UCAS No:
NCTL/DfE No:
Name and type of training provider
(eg North Thames SCITT)
Training Route
(e.g. SD Salaried, GTP)
Date of training
(e.g. Sept ’14 - June ’15)
You either need:
  1. Evidence that you are already registered on an ITT course leading to QTS (but without an academic award) – this could be a letter of support from your ITT provider or a letter confirming registration.
  2. Evidence that you have obtained QTS (QTS certificate) and a simple letter of support from your employer confirming that you will be working in the school throughout 14-15.
Please send documentary evidence of this to or post to:
ITE Partnership – Janine O’Malley
School of Education and Social Work
Essex House
University of Sussex
Falmer
BN1 9QN

7. Contact details of your ITE Provider or Employer

Name of contact: ______

ITE Institution/School: ______

Email: ______

Telephone number (include area code): ______

8. Personal Statement

Please provide a brief rationale why you feel you would benefit from the PGCE in Pedagogy in Practice

9. Declaration

I understand I am registering for a PGCE in Pedagogy and Practice that does not lead to QTS but offers an academic award recognising my intellectual engagement in teaching and learning.

I understand that before registering for the PGCE in Pedagogy and Practice I must ensure I have adequate financial provision to cover my tuition fees.

I attach proof of QTS or evidence of registration on an ITT course leading to QTS

I confirm that the information provided on this application form is true, accurate and complete

Signed:

Date:

(Electronic signatures acceptable. By email: typed name is acceptable on pdf.)

For Office Use:

Accept 

Reject  – Reason

Date: