Middlesbrough Newly Qualified Teachers Registration Form

Middlesbrough Schools’ Teaching Alliance

Newly Qualified Teachers Registration Form

2017-2018

Name of NQT:
(also indicate former surname if applicable)
Date of Birth:
Teacher Ref Number:
NQT email address: (preferably school email)
Address(including postcode):
Telephone: (preferably school number)
School name:
Induction Tutor (for named NQT):
Induction Tutor email address:
Date of most recent Induction Tutor training:
(MUSTbe on/afterSept 2015)
Please state the named Induction Leader for the school if different from Tutor named above:
Full name and role of person who has checked necessary qualifications, documentation, or website, to ensure that the NQT has obtained QTS: (including passing of skills tests) / Name: / Role:
Date checks were undertaken: / Date:
Does the NQT have QTS?
(please tick relevant boxes and provide detail as required)
Ensure certificates areseen
NB: Induction cannot begin until after QTS award date
Without QTS the NQT can only be employed as an unqualified teacher and is not eligible for Induction / YES / NO
Establishment where ITT completed:
Date of award of QTS:

NQT Contract start date:

NQT Induction start date:

(if this differs from contract start date)

Contract Details:

(please tick boxes and/or provide detail as required)
NB: If a NQT leaves part way through induction the appropriate ‘leaver’s form’ must be returned to the Appropriate Body giving details. / Full
time / Part time / If P/T proportion
of week / 0.
Permanent
Contract? / Yes / No
If NOT permanent,
what is expected end date?
Any previous induction period to be taken into account?

(If yes, please give details of school(s) and LA(s) and forward relevant paperwork to the Appropriate Body)

/ School(s): / LA(s):
Year group(s) to be taught during Induction period:
Main Subject:(Secondary only)
Does this match the training experience of NQT?
(If not– please give reasons why not)
ONLY FOR USE IF DETAILS CHANGE
New name: (e.g. if marries)
Previous/New school: (if transferring)
Change in contract:(in case of change/extension to contract e.g. from temp. to perm. or from P/T to F/T)
MANDATORY INFORMATION
Name of Head Teacher/Principal:
E-mail address:
Date:
SEE NOTE *** BELOW
*** THE COMPLETED FORM MUST BE SUBMITTED ELECTRONICALLYand MUST ORIGINATE FROM THEHEAD TEACHER’S/PRINCIPAL’S MAILBOX OR IT WILL NOT BE ACCEPTED
Please email all NQT forms to:

NB: There is an Appropriate Body charge of £500 per NQT

An additional CPD package is also available

See MSTA/LA Professional Development Programme 2017-18information

Please contact Alex Duncan for further details on 01642 266290

Or email