George Spencer Teaching School Alliance

NPQH ApplicationForm

The application form to be completed and returned to . Please ensure all sections are completed before submitting.

Course Title / NPQH
Induction Date / Will only be one day – 12th October 2017 – TBC at GSA

Applicant Personal Information

Please providethe following information about yourself:

Applicant Title
Applicant Forename
Applicant Surname
Any previous Surnames including maiden name
Applicant Date of Birth / *Requirement by NCTL
Applicant TRN / *Requirement by NCTL
Name of School
School URN / *Requirement by NCTL
Is your school Primary/ Secondary or Special?
Applicantcurrent role
Time in current role (Yrs.)
Email address
Telephone number - School
Telephone number – Personal (preferably mobile)
Personal Home Postal Address
How did you hear about this course?

Applicant’s Signature…………………………………………………………………………………

Head Teacher Personal Information

Please provide the following information:

Head Teacher Forename
Head Teacher Surname
Email address
Telephone number
Please note that in order to be able to successfully complete the course and pass final assessment the participant will need to have completed, and shown the significant impact of a substantial piece of school improvement work that is part of theirschool’s improvement plan and a 9 day placement in another school.
I confirm that the applicant detailed above is at a suitable level to be able to successfully complete the NPQH and that I will provide in school support, including being their coach. I authorise the payment of the course fees.
Signed …………………………………………….. Date………………………….
Print Name…………………………………………
Please invoice employer as detailed below:
School Name and Address (including post code)
School Telephone
School Fax
School email address to send remittance

Head Teacher’s Signature……………………………………………………………………………

If you have any queries please contact us via email:
Please ensure you read theLeadership CoursesTerms and Conditions on the next page.
George Spencer Teaching School Alliance
Leadership Courses - Terms and Conditions
  1. Once a booking has been made and confirmed this is a commitment to pay for attendance on the course and is subject to the cancellation conditions stated below.
  2. Payment will be required within the specified terms on the booking invoice and access to the course may be denied unless full payment has been received before the course start date.
  3. Bookings made within 2 working days prior to the start of the course will incur a late booking charge of £30.00. This charge can be waived at the discretion of the Director of the Teaching School.
  4. If any of the above details are deemed to be incorrect this could invalidate any subsidy that you may have been allocated.
  5. Charges for Final Assessment are currently under review by NCTL. Fully funded places are guaranteed until the end of September 2017.
Cancellations
  1. All cancellations should be in writing by email to Course Administrator –
  2. Name changes are permitted without charge 30 working days prior to the start of the course.
  3. In the event of a cancellation of a confirmed booking or non-arrival by a delegate no refund will be given.
Inability to attend due to illness, personal or professional commitments does not automatically waive this but in all such cases consideration will be given to the circumstances and we will take such action as we consider fair and reasonable. (We may for example ask to see medical certificates).
  1. George Spencer Teaching School Alliance hopes never to cancel a course if however this happens we will tell you why and offer to place you as priority on the next available training, or if you prefer give you full refund of payments received.
Withdrawal and Deferral
  1. If a delegate decides to withdraw part way through a course, a refund may exceptionally be given at the discretion of the Director of the Teaching School. GSTSA will take all reasonable steps to avoid participant withdrawals.
  2. Exceptionally if a delegate is advised to withdraw from the course by the course leaders an appropriate refund, based on the point of withdrawal from the course, will be made.
  3. George Spencer Teaching School Alliance works within a framework which permits candidates, in exceptional circumstances, to request a deferral. GSTSA will give careful consideration to the circumstances of each individual case when considering requests for deferral. For full details see Leadership Curriculum policy for Withdrawals and Deferrals. Deferrals may incur additional charges in relation to Final Assessment.
  4. Full completion of all modules including attendance at all required Face to Face Days is a requirement of all candidates wishing to proceed to Final Assessment on the Leadership Courses. Where reasons for non-attendance are considered to be acceptable an alternative will be put into place at no extra cost to the school. Where non-attendance is not considered to be acceptable an alternative date will need to be attended for which an additional charge will be made. For full details see Leadership Curriculum policy for Withdrawals and Deferrals.
Complaints
  1. Any complaints should be sent to George Spencer Teaching School Alliance Principal: Mr F Mitchell at

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