NQT Registration Form Autumn 2016

School Name
Phase / Nursery ☐ / Academy ☐
Primary ☐ / Free School / Independent ☐
Secondary ☐ / Special ☐
NQT First Name
NQT Surname
NQT Teacher Reference Number
(This should be 7 digits long) / Please note: NQTs cannot be registered without a valid teacher reference number. If you are unsure please contact the National College on 0207 593 5392, who should be able to confirm teacher reference number. / NQT Date of birth
NQT National Insurance Number
NQT Email Address
NQT Contract Type / Full Time ☐
Part Time ☐
If part time please state number of days per week ______ / How Many terms you wish to register NQT / 1 Term - £100 ☐
2 Terms - £180 ☐
3 Terms - £260 ☐
Start Date of Induction / End Date of Induction
Institution where NQT trained
Has NQT Induction previously been served?
Yes ☐
If yes please state opposite where and when induction was previously served
No ☐ / Name of school/organisation where induction previously served
Start Date of previously served induction
End Date of previously served induction
Do you have copies of previous assessment / Yes ☐(Please attach)
No ☐
We offer a range of continuing professional development courses to support NQTs during their induction, which can be found on our website: www.servicesforeducation.co.uk or by contacting us on 0121 366 9954
Process, Practice and Policies –Key Messages for NQTs, is a briefing we run, aimed at supporting the NQT with developing their professional and personal conduct through the transition from trainee to leader. The cost of this course is included as part of the NQT Registration process.
Please book the preferred date of attendance online at www.servicesforeducation.co.uk. A confirmation email will be sent after booking
26/9/16 – 1.00pm – 4.00pm - Venue: Birmingham City FC, St. Andrews Stadium, Cattell Road, Birmingham, B9 4RL
27/9/16 – 1.00pm – 4.00pm - Venue: Birmingham City FC, St. Andrews Stadium, Cattell Road, Birmingham, B9 4RL
28/9/16 – 1.00pm – 4.00pm - Venue: Birmingham City FC, St. Andrews Stadium, Cattell Road, Birmingham, B9 4RL
NQT Induction Tutor Name
NQT Induction Email Address
I confirm that this NQT has passed the Teaching Agency skills tests to gain QTS - without QTS they cannot be employed as teachers or begin induction. Teachers trained in Wales, Scotland and Northern Ireland are exempt from the skills test.
NQT Tutor Signature:
Date:

Please email completed forms to: