Registration of Interest for undertaking Advanced Teacher Status (ATS)

Instructions for completing this form

Registration of interest for undertaking Advanced Teacher Status (ATS)Page 1 of 3

Last updated: June 2017

  1. Complete all sections of this form
  2. Save it as a file called:[your membership number]ATS form, for example AJ012345ATS form
  3. Email your Registration of Interest with the email subject:[your membership number]ATS registration of interest form, for example AJ012345ATS registration of interest form. Include the following attachments:
  • Your Registration of Interest form
  • Your CV following the instructions in section C of this form
  • One or two supporting testimonies forms following the instructions in section E of this form

All information provided by you will be treated as confidential. SET and the Education and Training Foundation (ETF) will not share any information provided with any outside party.

You can Register your Interest until noon on1 September 2017. Please see the ATS Terms and Conditions for information about how registrations of interest will be processed. Note that places are limited and one of the criteria for allocation is on a first come, first served basis.

Registration of interest form

A) Background information
1 / Full Name / Click here to enter text. /
2 / Home address / Click here to enter text. /
3 / Email address / Click here to enter text.
4 / Telephone number (this will be used to contact you to take payment if your application is successful) / Click here to enter text. /
Best day and time to call to take payment (please note our Membership Enquiries team can call between 9.00am and 8.00pm Monday to Friday) / Click here to enter text. /
5 / Name and address of current employer (if applicable) / Click here to enter text. /
6 / Type of organisation / Choose an item.
If other please state.
7 / SET membership number / Click here to enter text. /
8 / Date when QTLS/QTS was awarded / Click here to enter a date or type in. /
9 / Date when initial teacher education qualification was awarded / Click here to enter a date or type in. /
B) Your current role
10 / Current job title / Click here to enter text. /
11 / Brief description of responsibilities; age of range of learners you are teaching, number of hours per week (or per term/year) you are teaching (maximum 150 words).
Click here to enter text.
C) Your previous roles
Please attach an up-to-date CV to your application email. Please name this file [your membership number] ATS CV, for example AJ012345 ATS CV. You CV should be a maximum of two sides of A4 and a minimum of size 11 font.
D) Evidence of your pedagogical skills and subject/vocational knowledge
Please provide a pen portrait that demonstratesa commitment to maintaining and updating your subject/vocational knowledge and consistency in high level teaching and learning and that has resulted in a positive impact on learner outcomes (maximum 500 words).
This pen portrait should include:
  1. a brief statement outlining:
  • why you would like to undertake ATS
  • why you should be considered as a candidate for ATS
  • the anticipated positive impact that undertaking the process would have on you and your organisation.
  1. a statement that demonstrates your commitment to maintaining and updating your subject knowledge that might include information about recent CPD undertaken, visits to employers and/or how you keep up to date with initiatives.

Click here to enter text. /
E) Supporting testimonies
Please provide:
  • a witness testimony or statement from a line manager, quality manager or advanced practitioner confirming consistency in high level teaching and learning skills. This could be an observation report of your teaching completed in the past six months.*
  • a witness testimony or record confirming consistency in sustaining or improving learner outcomes*.
*If preferred, one person can provide the testimony to cover both of the above.
Your testimony(ies) should be provided in the ATS supporting testimonies form. Please send this form to your witness(es) and tell them which part of the testimony you would like them to provide. They should then return this to you to send with your application.
Please name the files [your membership number] ATS testimony 1/2, for example AJ012345 ATS testimony 1and attach them to your application email.
Please provide the details of the people who have given your witness testimony(ies) below
Testimony 1 / Testimony 2 (if applicable)
Full name / Click here to enter text. / Full name / Click here to enter text. /
Job role / Click here to enter text. / Job role / Click here to enter text. /
Relationship to you / Click here to enter text. / Relationship to you / Click here to enter text. /

Your signature:Type signature here.

Date:Click here to enter a date.

Registration of interest for undertaking Advanced Teacher Status (ATS)Page 1 of 3

Last updated: June 2017