Early Years Initial Teacher Training(EYITT) Application form
September 2017 entry
Please read the accompanying Notes for Guidance before completing this form.
PLEASE USE BLACK INK WHEN COMPLETING THIS FORM
1 Personal detailsTitle (PLEASE TICK APPROPRIATE BOX)
Dr Mr Mrs Miss Ms / Surname / Family name (BLOCK CAPITALS)
First name (s): / Previous surname / Family name, if changed:
Known as (if different from First Name): / National Insurance no:
Usual CorrespondenceAddress: / Home address (if differentfrom correspondenceaddress):
Postcode: / Postcode:
Passport Number (for Overseas Applicants only)
(Please send photocopy of passport) / Will you require details on campus accommodation?
Yes No
Have you studied at the University of Worcester before?
Yes No / If yes, what is your Student Number?
Preferred contact telephone number / Alternative contact telephone number
Email Address (please print clearly, particularly if your email address includes - _ . )
Male Female / day month year
Date of birth / Country of Birth:
2 EYITTRoute– please tick the box for the route for which you are applying.
GEGraduate Entry – 1 year full-time (funded)
GEBGraduate Employment-based – 1 year part-time (funded)
3 How did you find out about Early Years Initial Teacher Training at the University of Worcester?
4 Qualifications (GCSE and above)
Relevant recognised qualifications taken or results pending e.g. in professional examinations or overseas qualifications. For overseas qualifications please state UK equivalent, and include translations where possible.
Please enclose copies of certificates and transcripts relating to the qualifications declared below.
Qualification / Subject / Date Awarded / Awarding Body / ResultsGCSE Grade C or above (or equivalent*) / English
GCSE Grade C or above (or equivalent*) / Mathematics
GCSE Grade C or above (or equivalent*) / Science
Degree
(if you have not yet completed your degree, please enter the date of expected completion)
*Please note that Level II Literacy/Numeracy certificates are not equivalent to a whole GCSE. Only equivalency tests from Equivalency Testing (equivalencytesting.com) and the University of Worcester are acceptable for entry to EYITT.
5 Work experienceGive details of work experience, training and employment. Continue on a separate sheet if necessary.
Job title / Name of organisation / Full time/part time / From / To
6 Last two educational establishments at which you studied
Name and address of establishment / Course / From / To / Full or part time
7 Early Years Initial Teacher Training Self-assessment
This self-assessment is to identify your existing skills and experience and highlight likely areas of development. / YES / NO
I am employed to work with children in the 0-3 year range
I am employed to work with children in the 3-5 year range
I am unemployed but have experience with working with children in the 0-3 year range
I am unemployed but have experience with working with children in the 3-5 year range
I have experience of working with children with Special Educational Needs and/or Disabilities.
I have experience of Key Stage 1 and Key Stage 2
I guide the work of other practitioners
I plan for a safe and stimulating environment which promotes children’s learning.
I am involved in setting goals to challenge children of all backgrounds, abilities and dispositions.
I plan for and assess children’s development by adopting strategies to produce good outcomes with children.
I know and understand attachment theories and promote this effectively using strategies in the setting.
I lead and model effective strategies to develop and extend children’s learning and thinking.
I know and understand the implications of the EYFS for children 3-5 years
I know and understand the implications of the EYFS for children 0-3 years
I am involved in leading and managing delivery of the EYFS within my setting
I am involved in monitoring the work of other practitioners
I influence the work of other practitioners
I give feedback to other practitioners about effective practice in delivery of the EYFS
I work with other professionals beyond the setting in my work e.g. multi-agency work
I am involved in identifying individual needs of children.
I use literacy (including synthetic phonics), numeracy and ICT skills in my work
I plan for the care and education of children by identifying individual through assessment processes in the setting.
I use a variety of teaching approaches to lead group activities.
I understand the different factors that affect children’s learning and development and use this to plan effectively in the setting.
I lead assessment within the framework of the EYFS, following statutory assessment requirements confidently.
I know, understand and follow the safeguarding and child protection policies and procedures in the setting.
I lead the practice and professional development for myself and colleagues.
I contribute to the wider community and ethos of the setting.
I work collaboratively with other adults in my setting
I understand how to assess children’s progress and show others how to do this
I work in partnership with parent / carers to improve outcomes for children
I support other practitioners to work in partnership with parent /carers to improve outcomes for children
I use reflection on a regular basis, to develop mine and colleagues practice.
Have you lived, worked or studied abroad for three months or more in the last five years?
If YES, please see section 10 regarding the requirement for a Certificate of Good Conduct
8GEB Applicant - Employment status
Applicants for the GEB route must be in PAID employment with a registered early years setting for a minimum of 20 hrs per week. Volunteers are NOT eligible for the GEB route.
Organisation
name:
Your Job title:
Type:
Please tick
Sector:
Please tick
Manager’s name:
Setting Address:
Setting telephone:
Setting Email:
Local Authority area of employment:
Start date of current employment:
How many hours are you contracted for per week at this setting?
Do you have qualified teacher status (QTS)? Yes No DfES Number ______
If yes, is your QTS EARLY YEARSPRIMARYSECONDARY
9 Permission
I am NOT happy to be contacted for feedback about Early Years Initial Teacher Training?
I DO NOT give permission for my contact details to be shared with my local authority and within the University of Worcester Early Years Teacher Partnership for the purpose of providing support to Early Years Professionals
10 Applicant’s Statement (Please see notes for guidance)
Please state why you want to apply for Early Years initial teacher training and what qualities, skills and experience you have that make you suitable to become an effective Early Years Teacher.
The information in sections 11 & 12 is not used in the selection process and is used for statistical/support purposes only.
11Ethnic origin (to be completed only if country of permanent residence is in the UK)Ethnic origin is not the same as nationality, place of birth or citizenship, but about your colour and broad ethnic group.
Please enter the appropriate number in the box:
White
/Black or Black British
/Asian or Asian British
/Mixed
White / 10 / Black Caribbean / 21 / Indian / 31 / White and Black Caribbean / 41Irish Traveller / 14 / Black African / 22 / Pakistani / 32 / White and Black African / 42
Information refused / 98 / Other Black background / 29 / Bangladeshi / 33 / White and Asian / 43
Chinese / 34 / Other mixed background / 49
Other Asian / 39 / Other ethnic background / 80
12 Disabilities
Please enter appropriate code here:
(see guidance notes)
Are you registered disabled?YES
NO / Please indicate any support required:
13 English Language - Please enclose certified copies of certificates.
Is English your principallanguage? Yes No
Was English the language of instruction at school/college/university? Yes No
If NO, what is your principal language?
If English is not yourprincipal language, you will be expected to have reached a sufficient standard on admission to the course (IELTS 8, with a minimum of 6.5 in each element) to show that you are able to read effectively and communicate clearly and accurately in English to a standard equivalent to Level C1 on the Common European Framework of Reference for Languages.
Qualification / Date taken and location / Overall score / Written score
14 Financial and residential details
The National College for Teaching and Leadership fund the fees for the EYITT programme.
GE trainees may be eligible for a bursary (see guidance notes).
The employers of GEB trainees are eligible for a financial incentive of £7000 to support their employee on the programme.
Trainees must be resident in England for the duration of their programme.
Country of permanent residence / Nationality
Applicants not born in the European Union
please state date of first entry into the EU/UK day month year
15 Declaration
I confirm that the information I have given on this form is true, complete and accurate and no information requested or other
material information has been omitted. I have read the Notes of Guidance, in particular those relating to this section.
I understand what they say and I agree to abide by the conditions set out there. I acknowledge that the information on this
form will be used in accordance with the Data Protection Act 1998 and will be used to form the basis of my student record.
I give my consent to the processing of my data by the university. If I do not fully comply with these requirements the
university shall have the right to cancel my application and I shall have no claim against the university in relation thereto.
day month year
Applicant’s Signature: ………………………………………………….
PLEASE RETURN THE COMPLETED APPLICATION FORM, TOGETHER WITH
ONE REFERENCE
PHOTOCOPIES OF RELEVANT CERTIFICATES (GCSE/DEGREE/DBS)
PHOTOGRAPHIC EVIDENCE OF IDENTITY
TO:Early Years Initial Teacher Training
Admissions Office - Registry Services
University of Worcester
Henwick Grove
Worcester
WR2 6AJ
Tel: 01905 855111
v2, 13 February 2017
EARLY YEARS INTIAL TEACHER TRAINING:REFERENCE FORM
APPLICANT DETAILS
Name of Applicant:REFEREE DETAILS
Name of referee
Post/Occupation/Relationship
Address
Telephone / Email
Should this reference be treated as confidential? Yes/No.
If confidential please return direct to The Admissions Office, University of Worcester, Henwick Grove,
Worcester WR2 6AJ. Tel 01905 855111 Fax 01905 857542
Signature / Date
Advice for Referees
This advice is intended for all referees, including tutors, employers, careers advisers and other suitable persons. Please follow the guidance that is relevant to the applicant requesting the reference.
The University of Worcester uses references to assist the admissions process when assessing an applicant's suitability for further study. It is the only part of the application that the applicants do not write themselves. We are looking for the following key facts about an applicant:
- The applicant's academic and/or practice performance in their post-16 education
- Their potential for leading practice in the early years sector
- Any personal qualities or further experience which will benefit them, such as skills, aptitude, enthusiasm
- How they work as part of a team with others
If you can, read the whole application so that you can understand the applicant's career direction, chosen courses and preferred places of study. When writing your reference, you do not need to repeat any of the information that the applicant has given, unless you want to comment on it.
If you are writing a reference for an international applicant, please write in English. If the applicant's principal language is not English, please comment on their ability to write and speak in English, and indicate if any of their studies were taught in English.
When writing a reference for any applicant, including those outside the UK, please remember that, under the Data Protection Act, the applicant can ask for a copy of the reference and any other personal information that we have about them.
If the application, including the reference, has any information missing, or has any false or misleading information, the university has the right to cancel the application and withdraw any offers without reimbursing any associated fees.
v2, 13 February 2017