NEWLY QUALIFIED TEACHER (NQT) REGISTRATION FORM

(To register each new NQT contracted for any period counting towards completion of induction.)

School / college:
Teacher reference no:
Surname:
Forename:
date / date / month / month / year / year / year / year
Date of birth:
Start date of NQT induction at school:
Date of Qualified Teacher Status:
NQT’s contract: / Permanent: / Temporary:
If temporary, which terms is the NQT employed? / Autumn
Term 1 / Autumn
Term 2 / Spring
Term 3 / Spring
Term 4 / Summer
Term 5 / Summer
Term 6
Induction tutor’s full name (and title):
Induction tutor’s school email address:
Headteacher’s name:
Contracted time (eg. 0.4, 0.5, 1.0 etc):
If part-time, name of other school where NQT is currently undertaking induction, if applicable:
For primary schools: which year group(s) is the NQT teaching in?
For secondary schools: complete NQT’s main subject specialism:
Is the NQT covering PPA time for other teachers? / Yes: / No:
Is the NQT covering maternity leave for a teacher? / Yes: / No:
Has the NQT undertaken NQT induction in another school? / Yes: / No:
If the NQT has previously completed NQT induction in another school, pleasecomplete this section.
Name and address of school / School tel. no. / Local authority / Start date / Finish date / Contracted time / No. of terms completed
If the NQT has completed any terms of induction in other local authorities (ie not Gloucestershire LA), please ensure you send all the NQT induction assessment forms with this registration form.

Headteacher’s signature: …………………………………………… Date: …………………………

For office use only

QTS date / NCTL claimed / Entered NQT database / Entered finance ss

Please complete all sections of this form and return via email to:

{Alternatively, please send completed form by post to: Anne Lloyd,Newly Qualified Teachers,
Education Performance and Inclusion, Gloucestershire County Council, Block 4, Third Floor, Shire Hall,
Westgate Street, Gloucester, GL1 2TG}

Data Protection Act This information is being collected for the purpose of NQT induction. The information may also be disclosed to authorised statutory bodies and may be shared with other bodies, including Professional Associations, in order for literature and invitation to events to be distributed. It may also be used for the wider purpose of providing statistical data used to assist with monitoring provision and/or determining areas of need in order to target future provision. For further information, please contact the NQT Administrator at the address below. (Ref: Forms and guidance / NQT registration form revised 2/8/2016)